Cube Pessary With or Without Drains — Soft Silicone, 11 Sizes, Treats Prolapse, Cystocele & Rectocele

Compressible. Self-retaining. Effective for advanced prolapse. The Cube Pessary is a highly effective silicone pessary designed for the management of moderate to severe pelvic organ prolapse. Available with or without drainage holes, it is primarily indicated for second and third-degree uterine prolapse and can also relieve the symptoms of cystocele and rectocele. Unlike ring-style pessaries, the cube works by suction — its six concave faces grip the vaginal walls for a secure, self-retaining fit, making it an excellent option for patients where other pessary types have failed. A silicone removal tie is included to assist with extraction. The cube compresses for a smaller insertion profile and expands once placed to provide reliable pelvic support. Available in 11 sizes and disinfectable for ongoing reuse under clinical supervision.

✔ Available With or Without Drainage Holes
✔ Treats Second & Third-Degree Uterine Prolapse, Cystocele & Rectocele
✔ Soft Silicone — Compressible for Easier Insertion
✔ Silicone Removal Tie Included
✔ Self-Retaining Suction Fit — Works Where Other Pessaries Have Failed
✔ Disinfectable for Ongoing Reuse
✔ 11 Sizes Available
✔ Rx Required — HCPCS A4562

Product Details

Indicated For — Conditions Treated

• Second-degree uterine prolapse — primary indication; effective where ring-style pessaries have not provided adequate support
• Third-degree uterine prolapse — the cube's suction-based retention is particularly well-suited for advanced prolapse stages
• Cystocele — anterior vaginal wall prolapse (bladder herniation); cube provides broad pelvic floor support
• Rectocele — posterior vaginal wall prolapse (rectal herniation); cube supports posterior compartment defects
• Patients with little anatomic introital or vaginal vault support — cube pessary works well where anatomic support is minimal
• Older post-menopausal patients — frequently selected for this population due to reliable retention without reliance on introital muscle tone
• With Drains version — drainage holes allow for natural vaginal secretions to pass, reducing discharge buildup; preferred for continuous wear
• Without Drains version — solid cube profile for patients where drainage is not a clinical priority

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 — With Drains vs. Without Drains

The Cube Pessary operates on a fundamentally different principle than ring or dish-style pessaries. Rather than resting passively against the vaginal walls, the cube's six concave silicone faces create a gentle suction effect against the vaginal epithelium — providing a self-retaining fit that holds the pessary in position even in anatomies with reduced introital support. This makes the cube an important option when simpler pessary shapes have been tried and failed. The soft silicone body compresses during insertion, then expands to fill and grip the vaginal canal. A silicone removal tie is attached to assist with extraction, which is important given the suction-based hold. The cube must be rotated or the suction broken prior to removal — patients can often be trained to perform this independently, though more clinical supervision is typically required compared to ring-style pessaries.

The choice between the With Drains and Without Drains versions depends on the clinical plan for wear duration and patient comfort. The With Drains version includes drainage holes across the cube faces, allowing vaginal secretions to flow through the pessary rather than accumulating around it — particularly important for patients who wear the pessary continuously between clinical visits. The Without Drains version provides a solid cube profile and may be appropriate for shorter-duration or intermittent wear.

• Soft silicone compresses for a smaller, more manageable insertion profile
• Six concave faces create a suction-based self-retaining fit — no reliance on introital muscle tone
• Silicone removal tie included to assist with extraction and break suction during removal
• Well-suited for anatomies with minimal pelvic floor support — the cube works where rings and dishes often cannot
• Frequently selected for older post-menopausal patients and those with advanced prolapse stages
• Disinfectable — supports ongoing reuse under clinical supervision
• 11 sizes ensure accurate fitting across a wide range of anatomies
• Use cautiously in patients with very small or very large introitus — fitting should always be performed by a trained clinician

Size Guide — Cube Pessary #0 Through #10

• #0 Cube Pessary — Smallest size — for the narrowest vaginal canal measurements
• #1 Cube Pessary — Small size
• #2 Cube Pessary — Small size
• #3 Cube Pessary — Small-medium size
• #4 Cube Pessary — Medium size — commonly fitted starting point for many patients
• #5 Cube Pessary — Medium size
• #6 Cube Pessary — Medium-large size
• #7 Cube Pessary — Large size
• #8 Cube Pessary — Large size
• #9 Cube Pessary — Extra-large size
• #10 Cube 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 Cube Pessary or any of our women's health products? Call 1-866-218-0902 — our team is ready to help.