A vaginal insert device including a support portion, a stabilizing portion, a removal device, and at least one fluid passageway extending though the support portion is disclosed. The vaginal insert relaxes in the vagina to deliver outward compression force against the bladder neck via the anterior vaginal wall to assist prevention of urinary stress incontinence. The substantially cylindrical support portion has a distal end, a proximal end, and a hollow interior section with a plurality of struts extending from the distal end to the proximal end. Desirably, the plurality of struts helically curve as the plurality of struts extend from the distal end to the proximal end. The largest circumference of the support portion has an insertion diameter when the plurality of struts are twisted together and an in-use diameter wherein the plurality of struts are extended outward into a convex position larger than the insertion diameter.