Although corrective surgery is the definitive treatment for uterine-vaginal prolapse, vaginal pessaries are often used as a non-invasive alternative in the elderly, in women who are at high risk for medical complications with surgery and in women who wish to avoid surgery. Complications can occur with use of these pessaries but are usually rare. We present a case of an impacted shelf pessary, which required a midline episiotomy and incision of the band of vaginal tissue under general anaesthesia for its removal.
GoldsteinI, WiseGJ, TancerML.A vesicovaginal fistula and intravesical foreign body. A rare case of the neglected pessary.Am J Obstet Gynaecol1990; 163: 589–591.
2.
GrodyMHT, NyirjesyP, ChatwaniA.Intravesical foreign body and vesicovaginal fistula: A rare complication of a neglected pessary.Int Urogyn J Pelvic floor dysfunction1999; 10: 407–408.
3.
RayA, EsenU, NwabineliJ.Iatrogenic vesico-vaginal fistula caused by shelf pesary.J Obstet Gynaecol2006; 26: 275–276.
4.
HanavadiS, Durham HallA, OkeT, AstonN.Forgotten vaginal pessary eroding into rectum.Ann R C S Eng2004; 86: 18–19.
5.
SivasuriyaM.Cervical entrapment of a polythene vaginal ring pessary- a clinical curiosity.Aust NZ J Obstet Gynaecol1987; 27: 168–169.
6.
SinhaA, ThirumalaikumarL, SorinolaOO.Bowel evisceration through ring pessary.BJOG2004; 111: 1023–1024.
