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Customized Pessary Fabrication Using Three-Dimensional Printing Technology

Barsky, Michael, BS; Kelley, Robert, DO, MBA; Bhora, Faiz, Y., MD; Hardart, Anne, MD

doi: 10.1097/AOG.0000000000002461
Contents: Female Pelvic Reconstruction: Procedures and Instruments

BACKGROUND: Pessaries are a treatment option for pelvic organ prolapse, stress urinary incontinence (SUI), and cervical incompetence. An effective pessary is comfortable, corrects the presenting problem, does not cause adverse effects, and is easy to remove. Discomfort and poor fit limit the usefulness of pessaries for many women. Each patient presents with unique anatomy and thus the effectiveness of commercially available pessaries may be limited by lack of customization.

METHOD: A patient presenting with SUI and failed commercial pessary fittings desired nonsurgical treatment. Using a mold fabricated with a three-dimensional printer and polylactic acid filament, a medical-grade silicone pessary was custom-made for the patient.

EXPERIENCE: The silicone pessary was placed vaginally in the patient for a period of 48 hours. The patient did not report any discomfort or bladder leakage. In addition, the pessary did not dislodge with coughing, sneezing, or straining. After removal, a speculum examination showed normal epithelium.

CONCLUSION: We report the successful insertion of a customized three-dimensional–printed pessary in a patient with SUI. Three-dimensional–printed pessaries are feasible and their utility may extend to the patient with anatomy incompatible with commercially available pessaries.

Three-dimensional printing technology can be used successfully to fabricate customized pessary devices for treatment of stress urinary incontinence.

Rutgers New Jersey Medical School, New Brunswick, New Jersey; the Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia; and the Departments of Thoracic Surgery and Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St Luke's, New York, New York.

Corresponding author: Anne Hardart, MD, Department of Obstetrics and Gynecology, Mount Sinai West and Mount Sinai St Luke's, 1000 Tenth Avenue, New York, NY 10019; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

Presented at the 2015 American Urogynecologic Society Annual Meeting, November 13–17, 2015, Seattle, Washington.

Each author has indicated that he or she has met the journal's requirements for authorship.

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.