pessary is a device made of silicone. It is inserted into the
vagina. The pessary presses through the vaginal
wall and supports the urethra. This support can help
retain urine in the bladder and reduce stress
incontinence. Some women who have stress incontinence use a pessary just during
activities that are likely to cause urine leakage, such as jogging. But many
pessaries can be worn all the time.
Weighted vaginal cone: A weighted vaginal cone is a cone-shaped weight that is inserted into the vagina. The cone is used as part of a biofeedback exercise for strengthening the pelvic floor muscles. The cone is weighted (heavy) so the muscles have to work to keep it in the vagina.
Urethral insert: A thin, flexible tube that is solid rather than hollow (like a
catheter) is placed into the urethra to block the leakage of urine.
External urethral barrier: A self-adhesive patch or a cap is placed over the urethral
opening to block the leakage of urine.
What To Expect After Treatment
This section is not applicable to this
Why It Is Done
Mechanical devices can be used to control stress and mixed urinary incontinence. Because they have few risks, they are usually tried before surgery, along with other treatments like pelvic floor (Kegel) exercises. Some women who have incontinence but who don't want or can't have surgery may find that mechanical devices work well enough to control their incontinence.
How Well It Works
There is no strong evidence that these devices work to control incontinence. But they don't have a lot of risks. If they don't work for you, you can always try other things like pelvic floor exercises or surgery.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Brian D. O'Brien, MD - Internal Medicine Adam Husney, MD - Family Medicine Specialist Medical ReviewerAvery L. Seifert, MD - Urology