Related Experiment Video
Updated: Jun 12, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Can a ring pessary have a lasting effect to reverse uterine prolapse even after its removal?
Shigeki Matsubara1, Yoichi Ohki
1Department of Obstetrics and Gynecology of Jichi Medical University, 3311-1 Yakushiji Shimotsuke, Tochigi 329-0498, Japan. matsushi@jichi.ac.jp
Abstract:
A vaginal ring pessary for uterine prolapse has been considered only to reposition the uterus during fitting and is thus palliative. A ring pessary was fitted in a 71-year-old woman with uterine prolapse to reposition the uterus. When the pessary was removed after 73 months, the prolapse disappeared and did not recur. In another five patients with uterine prolapse who were fitted with a ring pessary, prolapse also disappeared after pessary removal. In these six patients, the median duration of pessary implantation and observation after its removal was 27.5 and 42.0 months, respectively. In some women, a vaginal ring pessary may reposition the uterus not only during implantation but also after its removal.
Related Concept Videos
Intrauterine Drug Delivery Systems
Birth Control Methods
Proliferative Phase
Notably, the stratum basale, the basal layer of the endometrium, including the basal parts of the uterine glands, remains unaffected by menstruation. Stem cells in this layer undergo mitosis, regenerating the stratum functionalis and thickening the...
