Inflatable Donut Pessary
Donut and Inflatable-donut Pessaries, If a Ring pessary is not successful, but there is some introital support, a Donut or Inflatable-Donut pessary may be an option.
Donut pessaries are essentially thicker Rings and may fill a vagina enlarged by loss of elasticity more completely; however, these pessaries are in more complete contact with the vaginal epithelium, which may increase the risk of mechanical tissue injury or discharge production and retention. Some women may be able to remove and replace traditional Donut pessaries themselves, but comfortable vaginal intercourse is unlikely. Inflatable Donut pessaries, which are a silicone variation of an older latex inflatable pessary called the Inflatoball, have a stem and valve for inflation and deflation like a balloon, and are designed to be inserted and removed at frequent intervals (within 48 hours). Manufacturer instructions should be reviewed before attempting to autoclave Donut pessaries because of their air-filled core.
During fitting, digital examination is used to assess both the depth and width of the vagina. Introital stretching and discomfort is more likely with a traditional Donut, and with either type, adequate lubrication is essential. With firm digital pressure, a traditional Donut pessary may be compressed somewhat to slip through the introitus more comfortably. Additionally, some
Donut pessaries can be deflated using a needle and syringe to remove air. After pessary insertion, it can then be re-inflated by carefully inserting the needle into the Donut and injecting air with the syringe. All Donut pessaries are typically fit either like a Ring pessary – along the length of the vagina – or may stay in place if fitted snugly into the circumference of the vaginal apex with appropriate intrinsic support.
To remove a traditional Donut pessary, the introitus is lubricated, and with the examination finger in the Donut center, the pessary is pulled gently downward at a diagonal angle.
Some Donut pessaries can be carefully deflated in situ using a needle and syringe to ease removal, and the Inflatable Donut pessary should also be deflated prior to removal.
Designed for third degree prolapse as well as cytocele and retocele
The soft donut can be compressed for insertion
All pessaries are made with 100% silicone and are latex-free