Donut Pessary — Soft Silicone, 8 Sizes, Treats Third-Degree Prolapse, Cystocele & Rectocele

Fuller fit. Robust support. Built for severe prolapse. The Donut Pessary is a soft, compressible silicone pessary designed for the management of advanced pelvic organ prolapse. Primarily indicated for third-degree uterine prolapse, it is also effective for cystocele and rectocele — and is particularly well suited for older post-menopausal women where a ring pessary has not provided adequate support. The donut functions as an essentially thicker ring, filling a vaginal vault that has enlarged from loss of elasticity more completely than a standard ring can. The soft silicone construction allows the donut to be compressed for a more manageable insertion profile, then expands to provide firm, volumetric pelvic floor support through direct contact with the vaginal walls. Available in 8 sizes and disinfectable for ongoing reuse under clinical supervision.

✔ Treats Third-Degree Uterine Prolapse, Cystocele & Rectocele
✔ Thicker Ring Profile — Fills Enlarged Vaginal Vault More Completely
✔ Soft Silicone — Compressible for Easier Insertion
✔ Particularly Effective for Older Post-Menopausal Patients
✔ Effective When Ring Pessary Has Failed
✔ Disinfectable for Ongoing Reuse
✔ 8 Sizes Available
✔ Rx Required — HCPCS A4562

Product Details

Indicated For — Conditions Treated

• Third-degree uterine prolapse — primary indication; the donut's thicker profile provides robust support for advanced prolapse stages
• Cystocele — anterior vaginal wall prolapse (bladder herniation); donut provides broad anterior compartment support
• Rectocele — posterior vaginal wall prolapse (rectal herniation); donut supports posterior compartment defects
• Patients where a ring pessary has not provided sufficient support — the donut fills an enlarged vaginal vault more completely than a standard ring
• Older post-menopausal patients — frequently the pessary of choice for this population due to its ability to support a vaginal vault that has lost elasticity
• Patients with some introital support remaining — the donut requires some introital tone to remain in position; it is not self-retaining like the cube
• Stress urinary incontinence alongside prolapse — pessaries are also used in the management of pelvic support defects and SUI

Note: Pessary fitting and ongoing management should be performed or supervised by a qualified healthcare professional. A Pessary Sizing Chart is available for clinical reference. This product is Rx only — a valid prescription or professional license is required prior to shipment.

How It Works — Donut vs. Ring Pessary

The Donut Pessary is essentially a thicker, more volumetric version of the ring pessary — and that distinction is what makes it clinically valuable for advanced prolapse. Where a ring pessary rests relatively flat against the vaginal walls, the donut's solid torus body fills the vaginal vault more completely, providing greater structural contact and support across a larger area. This makes it particularly effective when a vaginal vault has enlarged or lost elasticity due to aging or post-menopausal tissue changes, and when a ring pessary has slipped, been expelled, or failed to adequately support the prolapsed structures. The soft silicone construction allows the donut to be compressed somewhat during insertion to ease passage through the introitus — adequate lubrication is essential. Once in place, the pessary fits either along the length of the vagina like a ring, or snugly into the circumference of the vaginal apex where intrinsic support is present.

Removal requires lubricating the introitus, inserting an examination finger into the center of the donut, and pulling gently downward at a diagonal angle. Some patients can be taught to perform this independently, though the donut typically requires more clinical involvement than a ring pessary. Because of the greater vaginal wall contact, patients should be aware that more complete contact with the vaginal epithelium may increase the risk of discharge accumulation or mechanical tissue irritation with longer wear intervals — regular clinical follow-up is important.

• Thicker torus profile fills vaginal vault more completely than a standard ring — ideal for enlarged or low-elasticity anatomy
• Soft silicone compresses for a more manageable insertion profile — adequate lubrication essential during fitting
• Fits along the length of the vagina or snugly into the vaginal apex, depending on anatomy and clinical assessment
• Effective step-up option when ring pessary has failed to provide adequate prolapse support
• Regular clinical follow-up recommended due to greater vaginal epithelium contact during wear
• Disinfectable — supports ongoing reuse under clinical supervision
• 8 sizes ensure accurate fitting across a wide range of anatomies

Size Guide — Donut Pessary #0 Through #7

• #0 Donut Pessary — Smallest size — for the narrowest vaginal canal measurements
• #1 Donut Pessary — Small size
• #2 Donut Pessary — Small-medium size
• #3 Donut Pessary — Medium size — commonly fitted starting point for many patients
• #4 Donut Pessary — Medium size
• #5 Donut Pessary — Medium-large size
• #6 Donut Pessary — Large size
• #7 Donut Pessary — Largest size — for the widest vaginal canal measurements

A Pessary Sizing Chart is available for clinical sizing reference. For product or sizing questions, call 1-866-218-0902 — Mon–Fri, 9am–5pm EST.

Why Buy From Medical Department Store?

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Questions about the Donut Pessary or any of our women's health products? Call 1-866-218-0902 — our team is ready to help.