An intravaginal insert device for the management of stress urinary incontinence is disclosed. The insert device can provide an insert body shaped for comfortable and secure placement in the vagina at a depth for support of the urethra. The insert body can be formed by a mold overlay on a plastic core that is provides with interstitial gaps to enhance the integration of the overlay with the core. The core can further provide a hitch for attachment of a tether, such as string, to facilitate removal of the insert after use.