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Related Experiment Videos

Forgotten vaginal pessary eroding into rectum.

S Hanavadi1, A Durham-Hall, T Oke

  • 1Department of Surgery, Queen Elizabeth Hospital, Woolwich, London, UK.

Annals of the Royal College of Surgeons of England
|June 6, 2006
PubMed
Summary
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Forgotten vaginal pessaries can cause severe complications like rectovaginal fistulas, especially in elderly patients. Proper pessary care is crucial to prevent serious issues such as erosion into the rectum.

Area of Science:

  • Gynecology
  • Urogynecology
  • Surgical Complications

Background:

  • Vaginal pessaries are utilized for uterine prolapse management, particularly in geriatric populations.
  • While beneficial, pessaries carry risks of significant complications if not managed with diligence.

Observation:

  • A case report details a rectovaginal fistula arising from a neglected vaginal pessary.
  • The pessary, identified as a shelf pessary, had eroded through the vaginal wall into the rectal lumen.

Findings:

  • Forgotten vaginal pessaries can lead to severe complications, including rectovaginal fistula formation.
  • Pessary erosion into adjacent organs, such as the rectum, is a documented risk.

Implications:

Related Experiment Videos

  • Highlights the importance of regular follow-up and patient education for vaginal pessary users.
  • Underscores the need for vigilance regarding potential complications associated with long-term pessary use in uterine prolapse treatment.