Abstract: A device for treating female incontinence and prolapse includes a vaginal insert. The insert may also be loaded with various pharmacological compounds/drugs, such as hormones for treatment of various diseases within or outside the urogenital tract. The insert has a generally cylindrical body dimensioned to allow insertion into the vagina. The body has a pair of spaced peripheral rings extending from the exterior surface of the body, which displaces the vaginal wall, the tissue between the vaginal wall and the urethra to apply pressure to the urethra to treat the various defects. The pessary may be split to allow coiling to aid in inserting the device.