The Gellhorn pessary is the most commonly used space-filling pessary.
This support pessary has a circular base similar to the Gellhorn pessary but without the rigid stem (FIGURE 4, page 44).
Folding one side of the base to the stem, insert the Gellhorn pessary vertically inside the vagina.
If the vagina accommodates 3 to 4 fingerbreadths, or there is stage IV prolapse, use a Gellhorn pessary.
In that study, a Gellhorn pessary was more likely to require refitting than a Ring, suggesting Ring pessaries are easier for providers to size correctly.
The flexible Gellhorn pessary is an option in women who cannot retain Ring or similar pessaries due to introital laxity (see Figure 5).
Compared to a Gellhorn pessary, a smaller size can be used; however, Cube use may also result in mechanical tissue injury.
Apparently the Gellhorn pessary
is actually designed with a central "canal" meant to be used to inject water or saline at the time of removal to aid in breaking the suction.
Surprisingly, younger women were far less likely to complete the trial comparing a ring pessary with support and a gellhorn pessary, reported Dr.
They were more likely to be nonwhite and to be more parous than those who preferred the gellhorn pessary.
Meanwhile, the 39 women who strongly preferred the gellhorn pessary were more likely to have anterior wall prolapse and less likely to have had a hysterectomy or prior prolapse surgery.
Surprisingly, younger women were far less likely than their older counterparts to complete the trial comparing a ring pessary with support and a gellhorn pessary
, reported Dr.