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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Impaction after partial expulsion of a neglected pessary
Judith Berger1, Thierry Van den Bosch, Jan Deprest
1From the Departments of Obstetrics and Gynecology of the Regionaal Ziekenhuis Tienen, Belgium, and the University Hospitals K.U. Leuven, Leuven, Belgium.
Obstetrics and Gynecology
|July 23, 2009
Summary
Vaginal pessary use for pelvic organ prolapse can rarely lead to impaction and expulsion. This case highlights the importance of regular follow-up to prevent rare complications.
Area of Science:
- Urogynecology
- Medical Device Complications
Background:
- Vaginal pessaries are widely used for pelvic organ prolapse (POP) management.
- Severe complications associated with pessary use are uncommon.
Observation:
- An elderly patient presented with a protruding vaginal pessary causing perineal discomfort.
- The pessary had impacted and partially expelled through the perineal skin.
Findings:
- The impacted pessary was successfully removed by cutting it.
- The patient's perineal skin healed without complications post-removal.
Implications:
- While rare, pessary impaction and expulsion can occur, necessitating vigilance.
- The case underscores the need for regular patient follow-up, despite the lack of formal guidelines.
- Preventive care and monitoring are crucial for safe and effective vaginal pessary treatment.
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