Digitizing Gynecological Devices for Precision Care

How to cite: Sham D. Digitizing Gynecological Devices for Precision Care. Grand Rounds in Urology. February 2026. Accessed Oct 2026. https://grandroundsinurology.com/digitizing-gynecological-devices-for-precision-care/

Summary

Diane K. Newman, DNP, ANP-BC, FAAN, FAUNA, BCB-PMD, Urology and Pelvic Floor Nurse Specialist, University of Pennsylvania; Adjunct Professor of Surgery, Perelman School of Medicine, Emerita, University of Pennsylvania, Philadelphia, Pennsylvania, speaks with Derek Sham, BEng, MBA, founder and CEO of Cosm Medical, Toronto, Ontario, Canada, about the development of personalized gynecologic devices for pelvic floor disorders. Mr. Sham describes the company’s “Gynethotics” platform as an effort to bring customization technologies commonly used in orthopedics, dental care, and prosthetics into gynecology and pelvic floor medicine.

The discussion focuses on pelvic organ prolapse and stress urinary incontinence, conditions that affect a substantial number of women and are often managed with pessaries, pelvic floor physical therapy, or surgery. Mr. Sham reviews the limitations of current pessary fitting methods, which rely heavily on manual examination and trial-and-error sizing. He explains that many women discontinue pessary use because of discomfort, poor fit, or complications, including tissue irritation and chronic infections.

The Cosm Medical platform integrates diagnostic imaging, artificial intelligence-driven software, cloud-based workflow management, and 3D printing to create patient-specific devices. Mr. Sham discusses FDA and Health Canada clearance for customized pessaries with large numbers of dimensional variations. The workflow allows clinicians to adjust device dimensions, material characteristics, and support features based on patient anatomy and symptoms.

Additional development efforts include machine learning tools to predict fitting success, integration of pelvic ultrasound imaging, and exploration of a dedicated vaginal imaging scanner. Derek Sham also describes ongoing research into postpartum and postsurgical recovery devices intended to support tissue remodeling and improve long-term outcomes after childbirth or pelvic reconstructive surgery.

Newman highlights the unmet need for improved management of prolapse and stress urinary incontinence and emphasizes the importance of noninvasive treatment options. Newman and Mr. Sham discuss plans for broader clinical rollout, reimbursement development, and continued expansion of precision pelvic floor care technologies.