Unsuccessful pessary fitting is the most common reason for
discontinuation of pelvic organ prolapse treatment by causing
discomfort, dislodge, erosion and infection. Commercial vaginal
pessaries are produced in standardized sizes, and they do not fit in or
be effective in some patients who do not have the match for a specific
size. The personalized pessary was produced from the biocompatible,
flexible thermoplastic polyurethane filament from 3D printer with the
aid of genital hiatus measurements obtained with 3D transperineal
ultrasound. We present the steps of design, manufacturing and successful
middle-term use of a personalized 3D--printed thermoplastic polyurethane
pessary