Urosepsis Associated With Vaginal Pessary Use, ,

Conservative management of genital prolapse in older women uses vaginal pessaries. Infectious complications of these devices, attributable in some instances to poor routine maintenance, are uncommonly reported. We present 2 cases of genitourinary sepsis associated with unsuspected pessary use and discuss the spectrum of complications reported with these appliances. [Roberge RJ, McCandlish MM, Dorfsman ML: Urosepsis associated with vaginal pessary use. Ann Emerg Med May 1999;33:581-583.]