Pessary Fitting
Envision Physiotherapy has a team of pelvic floor physiotherapists in Vancouver who can assess, prescribe and fit you with an internal assistive device called a pessary to help stop incontinence and/or support pelvic organ prolapse.
A pessary is a soft, flexible silicone device worn in the vagina to stop incontinence or support pelvic organ prolapse. It can be easily inserted and removed by the wearer and should not be felt when in use. It can be worn just for activities when prolapse is bothersome — such as running or jumping — or kept in all day. The goal is for you to be symptom-free and able to return to the activities you love without leaking urine or feeling prolapse.
Pessaries offer a low-risk, effective option for managing symptoms of pelvic organ prolapse and bladder control problems. Current practice guidelines recommend that all people with urinary incontinence and pelvic organ prolapse should be offered pelvic floor exercises and a pessary as first-line treatment options. [Journal of Obstetrics and Gynecology Canada: 43(2) Feb 2021 & 42(4) April 2020]
Book NowReasons People Choose a Pessary
- To return to running, jumping, hiking, dancing or sport without leaking urine.
- To manage prolapse symptoms (heaviness, bulging, dragging) during activity or work.
- To avoid or delay surgery, or as a long-term non-surgical option.
- To support healing during the postpartum period.
- To use alongside pelvic floor physiotherapy for the best functional outcome.
A fitting appointment includes a thorough pelvic-floor assessment, a discussion of your goals, and trying on different pessary styles and sizes until we find one that is comfortable, effective, and easy to manage at home.
Meet Our Pelvic Health Focussed Physiotherapists
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