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International Urogynecology Journal
Published in: International Urogynecology Journal 6/2017

01-06-2017 | Images in Urogynecology

Pessary migration into the bladder: a rare episode of removal and repair of a vesicovaginal fistula

Author: Joseph Gauta

Published in: International Urogynecology Journal | Issue 6/2017

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Excerpt

Pessaries are considered to be the first-line agents for the treatment of pelvic organ prolapse (POP). Risks are minimal, but rare events such as erosion through organs have been reported. In a literature review including reports from 1950 to 2007, only 8 cases of vesicovaginal fistula have been reported, and fewer are found completely within the bladder walls [1]. Presented here is a case of a Gellhorn pessary that has completely eroded into the urinary bladder, with extraction and concomitant vesicovaginal fistula repair. …
Literature
1.
Arias BE, Ridgeway B, Barber MD. Complications of neglected vaginal pessaries: case presentation and literature review. Int Urogynecol J. 2008;19:1173–8.
Metadata
Title
Pessary migration into the bladder: a rare episode of removal and repair of a vesicovaginal fistula
Author
Joseph Gauta
Publication date
01-06-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 6/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3188-0

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