Author/Authors :
Ghanbari, Zinat Department of Obstetrics and Gynecology - School of Medicine - Tehran University of Medical Sciences, Tehran , Deldar Pesikhani, Maryam Department of Obstetrics and Gynecology - School of Medicine - Tehran University of Medical Sciences, Tehran , Eftekhar, Tahereh Department of Obstetrics and Gynecology - School of Medicine - Tehran University of Medical Sciences, Tehran , pourali, leila Department of Obstetrics and Gynecology - Mashhad University of Medical Sciences, Mashhad , Vatanchi, Atiyeh Department of Obstetrics and Gynecology - Mashhad University of Medical Sciences, Mashhad , Darvish, Soudabeh Department of Obstetrics and Gynecology - Shahid Beheshti University of Medical Sciences, Tehran , Ayati, Elnaz Department of Obstetrics and Gynecology - School of Medicine - Tehran University of Medical Sciences, Tehran
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.
