Register Here for the April 2025 course!

Register Here for the November 2025 course!

This will take you to the Pelvic Health Solutions Dropbox registration form.

Format: This course has a common one day live-online lecture portion for all participants, followed by practical pessary fitting labs at various locations after the lecture.

Audience: Experienced clinicians who have the ability to perform internal exams – Pelvic Health Physiotherapists, Occupational Therapists, Nurse Practitioners, Physicians, Physician Assistants, Naturopathic Doctors, etc

Pre-requisites:
– Pelvic Health Solutions Level 1 or equivalent*
–  experience/confidence in performing internal examinations. Pessary fitting is an advanced skill and it is not recommended to take the course if you are still becoming accustomed to performing internal exams.

* If you are a nurse or medical doctor who performs internal exams, you are welcome to register without the level 1 prerequisite – please mark profession on the registration form beside your name.

Cost: $675 CDN+tax

Dates:

April 2025:

Online Lecture: Saurday April 26, 2025 from 10:30am-6:30pm ET (Toronto, ON)

In-Person Labs: 9am-2pm local time
Vaughan, ON, CAN – Sunday April 27, 2025
Calgary, AB, CAN – Saturday May 3, 2025
Prineville, OR, USA – Saturday May 10, 2025
Loveland, CO, USA – Sunday May 18, 2025

November 2025:

Online Lecture: Saturday Noember 22, 2025 from 10:30am-6:30pm ET (Toronto, ON)

In-Person Labs:
Vaughan, ON, CAN – Sunday November 3, 2025 9am-2pm ET
Cleveland, OH, USA – Saturday November 8, 2025 9am-2pm ET

Interested in hosting a lab? Reach out to PHS so we can bring pessary fittings to your region here

Course Overview

Pelvic organ prolapse and stress urinary incontinence are common concerns that Pelvic Health Physiotherapists and other health care providers see frequently with their clients who were assigned female at birth. As medical systems transition towards conservative management, pessary use is recommended as a first-line symptom management option for those with POP and SUI both in Canada and internationally.

This course combines the most recent, evidence-based recommendations with hands-on and practical information for where pessaries fit into client care and how to integrate them into your clinical practice. Instructors Jenny and Cara have performed hundreds of pessary fittings and give in-depth, behind-the-scenes perspectives and clinical pearls to help you offer pessary care for your clients. Whether you want to offer pessary fittings in your clinic, work with clients for pessary maintenance after a fitting, or just learn more about pessaries so you can educate your clients who are suitable for pessary use, this course is for you. 

Course objectives:

• Briefly review up-to-date management options for pelvic organ prolapse and stress urinary incontinence so you know where pessaries fit into recommended care pathways (see Clinical Update course for in-depth research review)
• Overview of the POP-Q exam, how to perform the simplified POP-Q and vaginal tissue scan in clinic in a trauma-informed manner
• Comprehensive, research-based summary regarding pessary recommendations, indications, contraindications, effectiveness and ongoing management
• Overview of different pessary sizes and styles, clinical reasoning for which pessary size and styles to try with a given client
• How to work with other health care providers to ensure adequate pessary clearance and ongoing care
• Charting and interprofessional communication recommendations
• Practical considerations for how to set up a pessary service in your clinic, including overview of single-patient disposable model or sterilization of pessary fitting kits with an autoclave
• Lab will involve working in groups of 2-3 to do speculum exams, simplified POP-Q assessment, and pessary fittings for ring and cube on each other.

**Participants for this course are from different professions, provinces, and countries. It will be each registrant’s responsibility to look into prevention and infection control for their practice. You are encouraged to verify the legislation in your province or country to ensure that fitting pessaries is within your scope of practice as well as the specific regulations about infection control (cleaning and sterilizing in clinic or outside).

If you are travelling to attend this course/practical from outside of the province/country where you are registered to practice, please make sure you inquire with the College of the province where you are traveling to as to whether you require a temporary/courtesy licence.

If you have previously completed a pessary course/have pessary fitting experience, and are interested in auditing/registering for the lecture portion only, you can do so at a discounted rate. Please email info@pelvichealthsolutions.ca for details.

Learn more about pessaries in general by checking out the Birth Healing Summit 2023 Pessary Panel Podcast here!