Medline Ring Pessary With Knob And Support

Medline Ring Pessary With Knob And Support

Brand/Manufacturer: MEDLINE INDUSTRIES
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  • Non Returnable
  • Prescription required
  • FSA Approved

Item MDS6301804 is backorder and will be available to purchase once it is back in stock.

Medline Ring Pessary With Knob And Support is a silicone device that fits into the vagina to help support the uterus, vagina, bladder and/or rectum. The pessary is used for first or second-degree uterine prolapse. Ring Pessary With Knob can also be used to help with stress urinary incontinence (the leaking of urine during coughing, straining or exercising).

Item # Desc Pkg Price
MDS6301801 Size 1, 2.00" (51mm) Each
MDS6301802 Size 2, 2.25" (57mm) Each
MDS6301804 Size 4, 2.75" (70mm) Each
MDS6301805 Size 5, 3.00" (76mm) Each

Medline Ring Pessary With Knob And Support Features

  • Medline Ring Pessary With Knob And Support is used for prolapse of the uterus, cystocele (bladder), or rectocele (rectum)
  • Soft and pliable medical grade silicone is foldable for easy insertion and removal 
  • Pessary are non returnable
  • Indications for Use:
    - The flexible silicone pessary is commonly used for a mild first or second-degree uterine prolapse or procidentia
    - Pessaries are designed for single patient use

Medline Ring Flexible Pessary Instruction Manual

More About Medline Ring Pessary

Ring Pessary With Knob And Support Usage Instructions:

  • Fitting usually requires a trial of various sizes to determine the proper pessary size. Pessary Fitting Set is a valuable aid in selecting the correct pessary. A vaginal lubricant may be required for the patient’s comfort before insertion of a pessary. The physician should determine if the patient requires estrogen therapy before prescribing a pessary
  • Perform a normal pelvic examination prior to the fitting and introduction of a pessary. A pelvic exam helps determine the appropriate size. The pessary will easily fold across the largest drainage holes to simplify insertion and removal. The pessary should be large enough for its indication, yet not cause any undue pressure or discomfort
  • Compress the pessary and gently insert the pessary through the introitus. Once the pessary has passed the introitus, release the compressed pessary so that it expands to its normal shape
  • Gently move the pessary to the cervix to support the cystocele or rectocele and the uterus. When in the correct position, the physician should be able to insert an examining finger between the outer edge of 4the pessary and the vaginal wall. This spacing will ensure the patient comfort and reduce the risk of pressure necrosis
  • Once in place, the pessary should not dislodge when standing, sitting, squatting or bearing down. It should not be uncomfortable for the patient during any of these routine activities
  • When fitting a pessary, be sure to instruct the patient on its cleaning, insertion and removal. The patient should perform these tasks before the first follow-up visit
  • Tell the patient to report any discomfort immediately

Removal, Cleaning and Suggested Follow Up:

  • To remove the pessary, carefully move the pessary forward toward the introitus. When the pessary is within reach, compress the pessary and carefully withdraw
  • The pessary should be removed for cleaning every day or two. The pessary can be cleaned with mild soap and warm water
  • Advise the patient on pessary usage during sexual activity
  • Discuss the importance of following instructions and the expected length of time for pessary use
  • Within 24 to 48 hours, be sure the patient is not allergic to the pessary. Examine the vagina and ask the patient if there has been any discomfort, irritation, pressure, sensitivity, or unusual vaginal discharge. Also, determine if there has been any improvement in her personal symptoms
  • Schedule follow-up visits to fit the needs of the patient


  • This device restricted for sale to or on the order of a physician


  • Pessaries are contraindicated in:
    - Acute genital tract infections
    - Pelvic infections
    - Noncompliant patients


  • Do not leave pessaries in place for long periods of time, as serious complications can occur which may require surgical intervention
  • Do not use these pessaries on a patient with a known silicone allergy
  • Gehrung and Hodge Pessaries must be removed prior to x-ray, ultrasound and MRI procedures as these pessary styles contain metal components


  • This procedure should only be performed by a trained medical professional
  • Physicians must consider a patient as being under their active care as long as the patient wears a pessary
  • If the patient is not able to remove the pessary on their own for cleaning and inspection, more frequent office visits are required


Pessary Type


Cystocele Rectocele Stress Incontinence Retro Displacement Incompetent Cervix
1st - 2nd Degree 2nd - 3rd Degree
Cube   Y Y Y      
Cup   Y Y Y Y    
Donut   Y Y Y Y    
Gehrung   Y Y Y      
Gellhorn (short stem)   Y Y Y      
Gellhorn with standard stem   Y Y Y      
Hodge Y         Y Y
Marland   Y Y   Y    
Oval Y   Y        
Ring Y            
Ring with Knob Y       Y    
Shaatz Y            

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