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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

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Metallic vaginal ring pessary: a rare entity.

D K Uprety¹, M C Regmi, B Budhathoki

¹Department of Obstetrics and Gynaecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal. duprety2@gmail.com

Kathmandu University Medical Journal (KUMJ)

|June 2, 2009

Summary

Vaginal pessaries are crucial for managing uterovaginal prolapse, particularly in elderly patients. This case highlights a metallic ring pessary retained for 16 years without complications, underscoring their potential for long-term use.

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Area of Science:

Gynecology
Urogynecology

Background:

Vaginal pessaries are established devices for managing uterovaginal prolapse.
They are particularly beneficial for elderly women unfit for surgery or awaiting surgical intervention.
Forgotten pessaries can lead to severe complications, necessitating careful management and follow-up.

Observation:

A case of a metallic vaginal ring pessary retained for an extended period of 16 years is presented.
The patient experienced no significant symptoms during this prolonged retention period.
This observation challenges typical expectations regarding pessary retention duration and potential complications.

Findings:

The study documents a rare instance of asymptomatic, long-term retention of a vaginal pessary.
The metallic ring pessary remained functional and did not cause significant adverse effects for over a decade.
This finding suggests a potential for greater tolerance and durability of certain pessary types than commonly assumed.

Implications:

This case suggests that long-term asymptomatic retention of vaginal pessaries is possible.
It may prompt a re-evaluation of follow-up protocols for patients with long-standing pessary use.
Further research into the factors influencing pessary tolerance and longevity is warranted.