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

Zinat Ghanbari; Maryam Deldar-Pesikhani; Tahereh Eftekhar; Leila Pourali; Atiyeh Vatanchi; Soudabeh Darvish; Elnaz Ayati

doi:10.18502/jfrh.v13i3.2132

Zinat Ghanbari
Maryam Deldar-Pesikhani
Tahereh Eftekhar
Leila Pourali
Atiyeh Vatanchi
Soudabeh Darvish
Elnaz Ayati

DOI: https://doi.org/10.18502/jfrh.v13i3.2132

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.