Pessary Services
Non-surgical symptom relief
Get the support you need for pelvic organ prolapse and/or urinary incontinence. Find relief with non-invasive care, and return to the activities you love.
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Overview
Take control of your pelvic wellness
Our skilled pelvic health physiotherapist will work with you to identify your concerns, answer your questions, and find the best solution to restore your quality of life.
With a properly fitted pessary, you can expect:
- Immediate relief of heaviness and bladder leakage
- Minimal to no sensation during daily life
- Empowerment through self-managing your care and symptoms
- May delay or even avoid need for surgical interventions
Our Approach
We consider each client’s individual concerns and experiences and work to tailor treatments to your particular needs and therapeutic goals.
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A pessary is an internal vaginal device, made out of medical-grade silicone, used to support pelvic organs in individuals experiencing pelvic organ prolapse and/or stress urinary incontinence. They provide non-surgical symptom relief by supporting the vaginal walls, uterus, and bladder.
Pessaries come in all shapes and sizes, you will be fitted with the best pessary that meets your needs.
Acacia’s Pessary Services include:
- Trustworthy resource to support you going forward
- Initial consultation to discuss need and indication
- Assessment and fitting to select the right pessary for you
- Appointment for pessary placement
- Ongoing maintenance (if needed)
- Immediate relief of heaviness and bladder leakage
- Minimal to no sensation when properly fitted
- Often user-managed (insertion/removal)
- May delay or avoid need for surgery
Important Note: Pessaries do not cure prolapse or incontinence—they provide support while in place.
Initial pelvic assessment appointment:
60 minutes
During this time your pelvic health physiotherapist will:
- Listen to your concerns and take a detailed health history
- Do an in-depth assessment related to your symptoms
- Discuss with you the indications for pessary services along with other physiotherapy options
- If indicated, perform a pessary fitting
Pessary fitting appointment: existing patients
45 minutes
Prior to this appointment, your physiotherapist will have already discussed concerns, performed pelvic assessments, and talked about indications for a pessary with you.
During this appointment your pelvic health physiotherapist will perform a pessary fitting.
Pessary Insertion Appointment
30 minutes
After your pessary arrives, schedule your pessary insertion appointment with your pelvic floor physiotherapist.
During this appointment, your physio therapist will work with you to insert your pessary and ensure proper placement and fit. They will also support you with questions and protocols around your pessary care and management.
Pessary Follow-up Appointment
15 minutes
Two-weeks after you’ve had your pessary in place, a follow-up appointment is required to ensure no adverse reactions and your experience is optimal. Subsequent follow-ups can be scheduled every 3-6 months, or as discussed with your pelvic physiotherapist.
Our Practitioners
We take an empathetic approach to your care and always provide the most up-to-date information and resources. We want to help you on your journey to recovery.
Not sure where to start? Call 250-475-1522, ext 1. and our patient care coordinators will help.
FAQ
Still have more questions? Check out the tabs below. If your questions are still unanswered, please reach out, we love to help get to the root of things.
Some pessaries—like ring-style pessaries—can stay in during vaginal intercourse without causing discomfort, while others (like Gellhorn or cube types) need to be removed first. Your clinician will help you choose a type that suits your lifestyle and preferences.
Minor complications may include increased discharge, mild irritation, or spotting. More serious issues—like infections, ulcers, or erosion—are rare and typically occur if a pessary is left in too long without cleaning or follow-up care.
It depends on the type of pessary and whether you’re managing it yourself. Some people remove and clean it daily or weekly, while others leave it in for longer stretches and have it cleaned during scheduled visits—typically every 1 to 3 months.
Yes, pessaries should be replaced periodically, even with good care. On average, they last 1–2 years, but this can vary depending on the material, type, and usage.
If you do not see your extended benefits plan provider on this list, please contact them directly to confirm if you have dietitian coverage.
Many people can learn to manage their pessary independently with some instruction. However, some prefer or need assistance from a clinician.
Most people can continue regular physical activity, including walking, swimming, and low-impact exercise. High-impact or intense abdominal workouts may require a refit or a different pessary style to stay secure and comfortable.
Please call (250) 475-1522 ext. 1 and speak to one of our patient care coordinators who will be happy to answer your questions.
Morsal Niazi also offers a free 15-minute consultation with those with more questions before booking an initial appointment.