For many years, women have used vaginal pessaries to control prolapsed urine, and more recently these devices have also been used to manage incontinence. The purpose of this article is to outline the indications for the use of pessaries, and to address the patient's suitability for this form of treatment. Common pessary-related complaints that women may report are discussed and appropriate investigations and interventions are suggested. A brief review of serious complications that can arise if pessaries are not handled properly are also included. For many women, a pessary is an ideal option for managing POP. However, it is essential to remember that even this conservative form of intervention can have adverse effects on women.
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