Which statement best describes the pessary's role in prolapse-associated incontinence?

• A. A pessary improves continence by increasing urethral sphincter tone through hormonal action
• B. A pessary device is surgically implanted and anchors pelvic organs
• C. A pessary is used to measure pelvic organ prolapse
• D. Provides mechanical support to the pelvic organs, reducing urethral kinking and leakage in prolapse-associated incontinence

Answer: (D)

A pessary provides mechanical support to the pelvic organs, which reduces urethral kinking and leakage in prolapse-associated incontinence. By lifting and stabilizing the bladder neck and vaginal walls, it realigns the urethra so it no longer becomes kinked or compressed when prolapse occurs, which is a common cause of leakage during activity. This is a non-surgical, removable device placed in the vagina, unlike implants or hormonal therapies, and it can relieve incontinence symptoms while also improving pelvic organ support.