MarLand Pessary With or Without Support — Soft Silicone, 7 Sizes, Bladder Neck Support for SUI, Minor Prolapse & Cystocele

Excellent bladder neck support. Versatile pelvic floor management. SUI and prolapse together. The MarLand Pessary is a soft silicone pessary available with or without a supporting membrane, designed primarily for stress urinary incontinence (SUI), minor prolapse, and cystocele. Its standout feature is exceptional bladder neck support — making it one of the preferred pessary choices when SUI is the primary complaint, either with or without accompanying prolapse. Pessaries are a highly effective non-surgical tool for managing a wide range of gynecologic pelvic floor conditions, and the MarLand addresses several of these simultaneously. Available in 7 sizes with or without pelvic support, and disinfectable for ongoing reuse under clinical supervision.

✔ Available With or Without Supporting Membrane
✔ Excellent Bladder Neck Support — First-Line Choice for Stress Urinary Incontinence
✔ Treats Minor Prolapse, Cystocele & Second-Degree Uterine Prolapse
✔ Effective for Stress Urinary Incontinence With or Without Prolapse
✔ Soft Silicone — Gentle to Tissue
✔ Disinfectable for Ongoing Reuse
✔ 7 Sizes Available
✔ Rx Required — HCPCS A4562

Product Details

Indicated For — Conditions Treated

• Stress urinary incontinence (SUI) — primary indication; the MarLand provides excellent bladder neck and urethral support to reduce leakage during coughing, sneezing, laughing, or exercise
• Stress urinary incontinence with concurrent prolapse — the MarLand manages both conditions simultaneously, making it valuable when SUI accompanies pelvic organ prolapse
• Minor / first-degree uterine prolapse — effective for early-stage prolapse where bladder support is also required
• Second-degree uterine prolapse — can provide effective support for moderate prolapse presentations
• Cystocele — anterior vaginal wall prolapse (bladder herniation); the MarLand with Support version provides additional membrane reinforcement for concurrent cystocele
• Pelvic support defects — effective conservative management tool for a variety of gynecologic pelvic floor conditions
• With Support version — supporting membrane adds structural reinforcement, particularly beneficial for patients with concurrent cystocele
• Without Support version — open profile for patients where bladder neck support is the primary clinical goal without significant cystocele

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 Support vs. Without Support

The MarLand Pessary is distinguished among pessary types by its particularly effective bladder neck support — the structural mechanism by which pessaries reduce or eliminate stress urinary incontinence. SUI occurs when weakened pelvic floor muscles and ligaments can no longer maintain urethral closure during episodes of increased intra-abdominal pressure, such as coughing, sneezing, laughing, or physical activity. The MarLand addresses this by elevating and supporting the bladder neck and urethra, restoring the mechanical advantage needed for continence. This makes it clinically valuable not only for patients with isolated SUI, but especially for those who present with SUI alongside minor prolapse or cystocele — a combination where a single pessary solution treating both conditions simultaneously is highly practical.

The choice between the With Support and Without Support versions is guided by clinical assessment of the patient's anatomy and the degree of concurrent prolapse or cystocele. The With Support version includes a supporting membrane across the pessary interior, providing additional anterior structural reinforcement for patients where cystocele support is also required. The Without Support version offers a cleaner profile suited to patients whose primary need is bladder neck and urethral elevation without the membrane. Both versions are suitable for patient self-management with appropriate training.

• Excellent bladder neck and urethral support — clinically preferred for SUI management with or without prolapse
• Addresses SUI and minor prolapse simultaneously — a single device for patients with both conditions
• Soft medical-grade silicone — comfortable for long-term wear, gentle to vaginal tissue
• Patients can typically be taught self-insertion and removal — supports independent long-term management
• Disinfectable — supports ongoing reuse under clinical supervision
• 7 sizes ensure accurate fitting across a range of anatomies
• Effective non-surgical conservative management for a variety of gynecologic pelvic floor conditions

Size Guide — MarLand Pessary #2 Through #8

• #2 MarLand Pessary — Smallest available size
• #3 MarLand Pessary — Small size
• #4 MarLand Pessary — Medium size — commonly fitted starting point for many patients
• #5 MarLand Pessary — Medium size
• #6 MarLand Pessary — Medium-large size
• #7 MarLand Pessary — Large size
• #8 MarLand Pessary — Largest available size

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.

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Questions about the MarLand Pessary or any of our women's health products? Call 1-866-218-0902 — our team is ready to help.