Pessary Market

Pessary Market Outlook (2022 to 2032)

The global pessary market recorded a valuation of US$ 304.1 million in 2021 and is expected to reach US$ 718.2 million by the end of 2032, expanding at a CAGR of 8.1% over the next ten years. According to this new study by Persistence Market Research, ring pessaries are leading and accounted for a market share of 20.5% in 2021.

Demand for pessaries is set to be high and will continue to grow strongly over the coming years. This is due to the increasing prevalence of pelvic organ prolapse and issues of urinary incontinence. A prolapse occurs in the vagina or other organs in the pelvis that moves out of their normal position. In this situation, the support provided by a pessary can help women avoid pelvic surgery. Demand for pessaries is being driven by their high use as an alternative to surgery. Pessaries act as an aid for women who are physically incapable of undergoing pelvic surgery.

A pessary is a vaginal implant used to support organs that have prolapsed leading to urinary incontinence. It is a soft, detachable implant placed in the vaginal region to support the areas of the pelvic organs that have prolapsed. The uterus, bladder, or rectum may protrude down toward the vagina due to this condition.

Vaginal pessaries are regarded as the first-line treatment for primary stress urinary incontinence due to their high success rate and low complication rate for both prolapse and incontinence. Women of all ages are susceptible to pelvic organ prolapse (POP). However, POP problems are more likely to affect elderly women.

Sales of pessaries accounted for 80% share of the global urinary incontinence & pelvic organ prolapse devices and equipment market in 2021.

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Sales Analysis of Pessaries (2017 to 2021) Vs. Market Outlook (2022 to 2032)

Sales of pessaries increased at a CAGR of 3.9% from 2017 to 2021 owing to the increasing prevalence of pelvic organ prolapse across the world.

Pessaries are available in different shapes and sizes to fit the anatomy of the patient. There are wide varieties of pessaries available in the market such as ring pessaries, lever pessaries, incontinence ring pessaries, Marland pessaries, Gellhorn pessaries, Gehrung pessaries, donut pessaries, and cube pessaries. These are available as per the severity of the condition and as per the patient’s anatomy.

Pessaries were endorsed as a temporary measure against delays in elective surgeries during the COVID-19 pandemic due to the hesitance of people to visit hospitals. However, there was a gap in the demand and supply of pessaries due to the disruption of the supply chain and manufacturing during the pandemic.

Pessaries are usually made up of medical-grade silicon and are therefore highly durable. This material prevents the pessary from absorbing vaginal fluid and prevents the vagina from drying out and releasing bad odor. Silicon can also make the pessary easier to clean, hence reducing the risk of infection, thereby making it a popular choice among pelvic organ prolapse patients as an alternative to vaginal mesh.

Thus, owing to the above-mentioned factors, global demand for pessaries is expected to increase at a CAGR of 8.1% during the forecast period from 2022 to 2032.

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What Key Opportunities Await Pessary Manufacturers?

The market is set to present an opportunistic outlook owing to the increasing prevalence of pelvic organ prolapse (POP).

• According to a study reported by BMC Women’s Health in 2019, pelvic organ prolapse was considered to be a common urogenital condition that affected 41% to 50% of women who were above 40 years of age in 2019.

This points to the increasing prevalence of POPs and is positively impacting the growth of the pessary market in a positive way. Market growth in the years ahead can be propelled by growing concerns regarding the complex surgical procedure required to correct the condition and the concerns of post-operative complications. In addition to pelvic organ prolapse, a pessary can also help with stress incontinence caused while performing exercise or coughing.

With the growing geriatric population, lifestyle-associated diseases, and high success rate of pessaries, the market is estimated to expand rapidly during the forecasted period. Rapid increase in the geriatric population base is among the primary aspects leading to the increase in urinary incontinence.

• As per WHO, in 2020, worldwide, there were reportedly 727 million persons who were 65 or older. By 2050, this figure is anticipated to more than double, reaching over 1.5 billion people. In the world population, the proportion of elderly persons is anticipated to rise from 9.3 percent in 2020 to 16 percent in 2050.

Apart from this, pregnancy puts pressure on the pelvic floor muscles, which can be one of the major causing factors for urinary incontinence in pregnant ladies, which would impact the usage of pessaries quite positively.

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Which Factors are Restraining Demand Growth for Pessaries to Some Extent?

Pessaries are used to support displaced vaginal tissues due to pelvic organ prolapse. However, there are many complications associated with the use of a pessary that could limit its use. Pessaries need to be replaced frequently as prolonged use can lead to urinary tract infection, formation of an opening between the vagina and rectum, irritation in the vagina, and sometimes foul-smelling discharge.

There are some serious complications associated with pessaries like vesicovaginal fistulas, rectovaginal fistula, and erosion. Hence, there is a hesitance to the adoption of pessaries due to their associated discomfort and side effects.

Finding the right pessary as per the anatomy of a patient can be difficult. A pessary of the incorrect size or type can either cause irritation in the vagina or fall out of the vagina during strain or bowel movements. Moreover, market growth is observed to be affected by the discomfort it causes while inserting and removing the pessary, thereby requiring repeated doctor visits for this purpose. Furthermore, certain types of pessaries can cause difficulty during sexual intercourse.

Country-wise Insights

Why is the United States an Important Market for Pessary Manufacturers?

The United States dominated the North American region with a market share of 76.1% in 2021 and is expected to continue to experience the same growth throughout the forecast period.

The increasing aging population of the United States has driven the interest in pessaries owing to their usage as an alternative to surgical treatments required for pelvic organ prolapse. They are an excellent choice for patients who do not want to undergo surgery or who are not the right candidates for surgery. Women over the age of 80 years of age in the United States have a lifetime risk of undergoing pelvic organ prolapse or incontinence surgery, and a 30% risk of reoperation over a four-year period.

What is the Outlook for the Pessary Market in Germany?

The market in Germany is set to exhibit a CAGR of 8.2% over the next ten years.

The country is an attractive destination for healthcare stems for high-quality care. Demand for pessaries is expected to grow due to increasing government initiatives to support women’s health and well-being. The market will also grow due to the increasing number of health issues arising because of the rapid adoption of a sedentary lifestyle that leads to hormonal imbalances in many women.

Why Does China Account for a High Market Share in East Asia?

China held 43.5% share in the East Asia market in 2021 and is projected to exhibit a CAGR of 9.3% during the forecast period.

Increase in the elderly population of China and a rise in the number of female urinary incontinence cases have driven the demand for pessaries.

• For instance, according to an article published by BMC Urology with regard to the prevalence of urinary incontinence for women living in China, there were around 43 to 349 million Chinese women who experienced urinary incontinence in 2020.

As a result of the rising prevalence of urinary incontinence, there is a greater demand for pessaries, which drives market growth in China. Furthermore, increased per capita disposable income and untapped growth opportunities in diagnostics are other factors that will support market growth in the country.

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Category-wise Insights

Why is the Usage of Ring Pessaries So High?

Ring pessaries are expected to exhibit high demand growth at a CAGR of 8% across the forecast period. This segment exhibited a share of 20.5% in the global market in 2021.

This is because this variant fits well in a vast majority of women, is easy to insert and remove, and can be used at even severe stages of pelvic organ prolapse. Ring-shaped pessaries can easily assist in the treatment of urethroceles, grade-1 and grade-2 cystoceles uterine prolapse, and stress incontinence.

Why are Pessaries Widely Used for Pelvic Organ Prolapse?

By indication, pelvic organ prolapse accounted for a revenue share of 66.8% in 2021 and this segment is expected to display growth over the forecast period at a CAGR of 7.8%. Pelvic organ prolapse is more prevalent in people who fall under the geriatric population. Furthermore, lifestyle-associated diseases and repeated pregnancies have resulted in more cases of pelvic organ prolapse among the female population.

Competitive Landscape

With several competitors in the pessary production sphere, the market is highly fragmented. To meet product demand and expand their customer base, companies are resorting to mergers and acquisitions, partnerships and collaborations, and new product launches.

Instances of key developmental strategies by industry players are:

• In May 2021, Cosm Medical Corporation launched 3D-printed patient-specific pessaries. To give women a better prolapse treatment experience, Cosm created a customized prosthesis based on the particular anatomy and lifestyle requirements of patients using ultrasound, cloud software, machine learning, and 3D printing.
• In March 2021, Indegene announced a partnership with ConTIPI, an innovator of non-surgical solutions for women with pelvic organ prolapse, by bringing in a new product—ProVate--specially designed to treat women with POP.

Pessary Industry Report Scope

Pessary Industry Research Segmentation

By Product:

• Ring Pessaries
• Lever Pessaries
• Incontinence Rings
• Marland
• Gellhorn
• Gehrung
• Donuts
• Cubes

By Indication:

• Pelvic Organ Prolapse
• Urinary Incontinences

By End User:

• Hospitals
• Ambulatory Surgical Centres
• Speciality Clinics

By Region:

• North America
• Latin America
• Europe
• South Asia
• East Asia
• Oceania
• Middle East and Africa (MEA)