Neglected Pessary in Patient With Pelvic Organ Prolapse: A Case Report

  • Zinat Ghanbari Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Maryam Deldar Pesikhani Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • Tahereh Eftekhar Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  • leila pourali Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  • Atiyeh Vatanchi Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  • Soudabeh Darvish Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Elnaz Ayati Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Pessary, Pelvic Organ Prolapse, Conservative Treatment

Abstract

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.

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Published
2019-12-08
How to Cite
1.
Ghanbari Z, Pesikhani M, Eftekhar T, pourali leila, Vatanchi A, Darvish S, Ayati E. Neglected Pessary in Patient With Pelvic Organ Prolapse: A Case Report. J Fam Reprod Health. 13(3):173-175.
Section
Case Reports