Vaginal Pessary for Pelvic Organ Prolapse: A French Multidisciplinary Survey

Objective: To report the neglected pessary in a patient with pelvic organ prolapse. Pelvic organ prolapse (POP) is one of the most important medical challenges in women especially elderly. One of the conservative treatments of symptomatic POP is pessary placement. Case report: A 84-year-old woman, para 10 was referred to female pelvic floor clinic of an academic hospital for vaginal bleeding and neglected vaginal pessary. Vaginal examination in the pelvic floor clinic revealed an entrapped ring pessary in severely atrophic vaginal mucosa with purulent discharge. Conclusion: Although pessary is the first choice and one of the best conservative treatment for pelvic organ prolapse, it shouldn’t be used for poor cooperative patient who cannot comply with regular follow-up visits which may cause harmful complications.

Download Full-text

Predictors for dislodgment of vaginal pessary within one year in women with pelvic organ prolapse

Maturitas ◽

10.1016/j.maturitas.2017.11.008 ◽

2018 ◽

Vol 108 ◽

pp. 53-57 ◽

Cited By ~ 10

Author(s):

Rachel Y.K. Cheung ◽

Loreta L.L. Lee ◽

Tony K.H. Chung ◽

Symphorosa S.C. Chan

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Vaginal Pessary ◽

One Year

Download Full-text

Vaginal pessary for pelvic organ prolapse: A survey among french gynecological surgeons

Journal of Gynecology Obstetrics and Human Reproduction ◽

10.1016/j.jogoh.2020.101833 ◽

2021 ◽

Vol 50 (4) ◽

pp. 101833

Author(s):

Delphine Vardon ◽

Mathilde Martin-Lasnel ◽

Aubert Agostini ◽

Raffaèle Fauvet ◽

Anne-Cécile Pizzoferrato

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Vaginal Pessary

Download Full-text

Predictors of successful fitting of vaginal pessary for female pelvic organ prolapse

Journal of Gynecological Research and Obstetrics ◽

10.17352/jgro.000064 ◽

2019 ◽

pp. 017-021

Author(s):

Lone Farah Wali

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Female Pelvic Organ Prolapse ◽

Vaginal Pessary

Download Full-text

Vaginal pessary in advanced pelvic organ prolapse: impact on quality of life

International Urogynecology Journal ◽

10.1007/s00192-021-05002-7 ◽

2021 ◽

Author(s):

Barbara Bevilacqua Zeiger ◽

Silvia da Silva Carramão ◽

Carlos Antônio Del Roy ◽

Thais Travassos da Silva ◽

Susane Mei Hwang ◽

...

Keyword(s):

Quality Of Life ◽

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Advanced Pelvic Organ Prolapse ◽

Vaginal Pessary

Download Full-text

Migration of Neglected Vaginal Pessaries: A Case Report

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2021.42 ◽

2020 ◽

Vol 9 (3) ◽

pp. 225-227

Author(s):

Hyun A Bae ◽

Jeong In Choi ◽

Soo-Ho Chung ◽

Jae Hong Sang

Keyword(s):

Case Report ◽

Pelvic Organ Prolapse ◽

Patient Education ◽

Pelvic Organ ◽

Estrogen Treatment ◽

Case Presentation ◽

Vaginal Orifice ◽

Vaginal Pessary ◽

Rectovaginal Fistulas ◽

And Migration

Introduction: Vaginal pessaries are commonly used to manage pelvic organ prolapse. Pessaries are usually tolerated although some severe complications can occur in cases of negligence, including vesicovaginal and rectovaginal fistulas. Case Presentation: This is a report of two cases of a neglected vaginal pessary and migration into the rectovaginal space to form a vaginal orifice. Based on examinations, no vaginal pessaries in both cases migrated into the rectum. These pessaries were removed by cutting and rotating movements. Finally, the two patients were discharged after surgery without any complications. Conclusions: Neglected pessaries can lead to serious complications. Thus, patient education, local estrogen treatment, and careful follow-ups are important to prevent such complications.

Download Full-text