Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/5/2025

Vaginal Pessary Placement in Women for Stress Urinary Incontinence

Treatment Outcomes and Effectiveness

  • The American Urological Association suggests that pessaries are a valid non-surgical option for women with stress urinary incontinence who decline surgery, with surgical options such as synthetic midurethral slings and autologous fascial slings having higher cure rates of 66-84% 1, 2, 3

Comparative Effectiveness

  • The American Urological Association recommends that patients should understand that surgical options, particularly synthetic midurethral slings with 84% cure rates or autologous fascial slings with 66% success at 5 years, offer higher cure rates for stress incontinence compared to pessary use alone 1, 3