Ring Pessary With Support: Complete Guide to Sizing, Fitting & Clinical Benefits
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What is a ring pessary with support?
A ring pessary with support is a Class II medical device used to manage pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Unlike a standard open-ring pessary, this design features a flexible silicone membrane across the center of the ring that provides additional support to the anterior vaginal wall and bladder neck — making it the preferred choice when bladder descent (cystocele) and urinary leakage are both present.
SciMed's ring pessary with support is manufactured from 100% medical-grade silicone (USP Class VI), latex-free, BPA-free, and available in sizes 0 through 8. It is FDA 510(k) cleared as a Class II medical device under FDA Product Code HHN, regulated under 21 CFR 884.5350. HCPCS A4562 (silicone pessary, HSA/FSA eligible).
Ring pessary with support vs without support
| Feature | With Support | Without Support |
|---|---|---|
| Center design | Solid silicone membrane | Open ring |
| Primary indication | Cystocele + SUI | Uterine prolapse, mild POP |
| Bladder neck support | Yes | No |
| Sizes | 0–8 (44–95 mm) | 0–9 (44–102 mm) |
| Patient price | $49.99 | $49.99 |
| Can be worn during intercourse? | Generally no | Yes for most patients |
Clinical indications
- Stage I–II anterior vaginal prolapse (cystocele) — the membrane elevates the bladder and reduces bulge symptoms
- Stress urinary incontinence — by supporting the bladder neck, it can significantly reduce or eliminate leakage with cough, sneeze, or exertion
- Patients seeking non-surgical management of prolapse symptoms
- Postpartum pelvic floor rehabilitation alongside physiotherapy
- Bridging therapy pre- or post-surgical repair
How to size a ring pessary with support
- Begin with a size 3 (64 mm) or 4 (70 mm) as the default starting point for most patients (size 4 is the most-fitted overall)
- The pessary should fit snugly in the vaginal vault with the cervix resting on or through the membrane
- You should be able to insert one finger between the ring and the vaginal wall
- Ask the patient to walk, stand, and cough to confirm retention before finalizing the fit
For a complete sizing reference, see our ring pessary size guide.
Insertion technique
- Ask the patient to empty their bladder
- Apply a small amount of water-based lubricant to the pessary rim
- Compress the ring and insert it posteriorly into the vaginal canal
- Release in the vaginal vault with the membrane facing anteriorly toward the bladder
- Confirm the cervix rests on the membrane and the ring sits behind the pubic symphysis
- Have the patient stand and cough — the pessary should not expel or cause discomfort
Care and maintenance
- Clinician-managed: Remove and clean every 3–6 months; inspect at each visit for cracks or wear
- Self-managed: Remove weekly or as directed; wash with mild, unscented soap and warm water
- Medical-grade silicone is non-porous, odor-resistant, and built to last with proper care — typical service life is 1–2 years
Frequently asked questions
What size ring pessary with support should I start with?
Most adults begin a fitting trial with a size 3 (64 mm) or 4 (70 mm). Size 4 is the most-fitted overall. Individual anatomy, parity, and prolapse severity affect final size. A clinical fitting examination is always required before initial dispensing.
Can the ring pessary with support be self-managed?
Yes. Once the correct size is established through a clinical fitting, many patients are taught to remove, clean, and reinsert the pessary at home on a weekly schedule.
Is the SciMed ring pessary with support FDA cleared?
Yes. FDA 510(k) cleared as a Class II medical device under FDA Product Code HHN, regulated under 21 CFR 884.5350. Manufactured in San Jose, California from USP Class VI medical-grade silicone. HCPCS A4562.
How long does a silicone ring pessary last?
With proper care, 1–2 years of regular use. Replace sooner if you notice cracks, discoloration, or texture changes.
Where can I buy a ring pessary with support?
The SciMed Ring Pessary With Support is available direct from our US manufacturing facility for $49.99 with free US shipping and same-day dispatch. Multi-size fitting packs are available for at-home size trial.
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