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Related Experiment Video

Updated: Jun 20, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Patient-Specific Pessaries After Suboptimal Outcomes With Standard Pessary Use.

Christopher X Hong¹, Derek Sham, Shufei Zhang

¹Cosm Medical Corp, Toronto, Ontario, Canada; and the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.

Obstetrics and Gynecology

|June 18, 2026

Summary

This summary is machine-generated.

Patient-specific pessaries offer a successful nonsurgical treatment for pelvic organ prolapse, especially for those who struggled with standard devices. High fitting and continuation rates demonstrate their clinical utility.

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Last Updated: Jun 20, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Area of Science:

Urogynecology
Biomedical Engineering
Medical Device Design

Background:

Pelvic organ prolapse (POP) affects many women, with pessaries being a common nonsurgical treatment.
Standard pessaries can have suboptimal outcomes or fitting challenges for some individuals.
Patient-specific pessaries offer a customized approach to address these limitations.

Purpose of the Study:

To evaluate the fitting success, continuation of use, and adoption patterns of patient-specific pessaries.
To assess the efficacy of individualized pessary designs in patients with prior unsuccessful outcomes with standard pessaries.

Main Methods:

A retrospective case series involving 113 patients across 18 Canadian clinical sites.
Patient-specific pessaries were fitted, with up to two design iterations allowed.
Successful use was defined as continued use after a 4-week home trial following up to two fitting rounds.

Main Results:

Initial fitting success was achieved in 77.0% of patients.
Of those successfully fitted, 79.3% continued using the pessary after the home trial.
Overall, 63.7% of patients retained and continued using their patient-specific pessary at final follow-up.

Conclusions:

Patient-specific pessaries demonstrate high fitting success and continuation rates.
Individualized devices are a viable nonsurgical option for pelvic organ prolapse, particularly for patients with prior difficulties.
These findings support the clinical utility of custom-designed pessaries.