| Pessary name | Sizes[1] | Mechanism | Advantages | Disadvantages* | Preferred patient | Ease of insertion and removal[2] |
| Prolapse pessaries: Support |
| Commonly used |
| Ring | Diameter in inches (#3, 4, 5 most commonly used) | Support | - Fits many women
- Wide range of sizes
- Commonly available
- Inexpensive
- Easy to order
| - May not work for patients with wide genital hiatus
| SUI or POP | Easy |
| Less commonly used |
| Shaatz | Diameter in inches | Support | - Concave surface may reduce expulsion
| - Folds minimally
- May be difficult to insert
| POP | Easy |
| Hodge | #2 to 4 | Support | - Can be used for prolapse and incontinence
- Can support large prolapse
| - Challenging for patient to insert
| POP | Moderate |
| Gehrung | #3 to 5 | Support | - Can be used for prolapse and incontinence
- Can support large prolapse
| - Challenging for patient to insert
| POP | Moderate |
| Prolapse pessaries: Space-filling |
| Commonly used |
| Gellhorn | 1.5 to 3.5 in diameter (2¼, 2½, 2¾ most commonly used) | Space-filling | - Can support large prolapse
- Multiple sizes and two stem lengths
| - Must be removed for intercourse
| POP | Difficult |
| Donut | 1 to 3 inches in diameter | Space-filling | - Helpful for advanced prolapse with levator atrophy
| - Must be removed for intercourse
| POP | Moderate |
| Less commonly used |
| Cube | Diagonal in inches | Space-filling | | - Risk of vaginal side wall erosion
- Malodorous vaginal discharge
- Must be removed for intercourse
| POP | Difficult |
| Inflatable ball | 2.00 to 2.75 inches in diameter | Space-filling | - Easy removal and insertion by patient
| - Device stem protrudes from vagina
- Must be removed for intercourse
| POP | Moderate |
| Spherical | 6 sizes, 28 to 44 mm | Space-filling | - Easy removal and insertion by patient
| - Must be removed for intercourse
| POP | Moderate |
| Incontinence pessaries |
| Commonly used |
| Incontinence ring or dish | Sized by diameter | Urethral and vaginal support | - Can be used for prolapse and incontinence
- Can support large prolapse
| | SUI with or without POP | Easy to moderate |
| Impressa | 1, 2, 3 (small, medium, large) | Urethral support | - Does not require clinician fitting
- Available for purchase online
| - Need for new device with every use can be costly over the long term
| SUI without POP | Easy |
| Less commonly used |
| Bell-shaped incontinence | 3, 4, 5 (small, medium, large) | Urethral support | - Does not require clinician fitting
- Available for purchase online
| - Higher cost compared with other devices
- Advised to be replaced yearly
| SUI without POP | Moderate |
| Cylindrical intravaginal device | N/A | Urethral support | - Does not require clinician fitting
- Available for purchase online
| - Moderate cost compared with other devices
| SUI without POP | Moderate |
