Concomitant vesicovaginal fistula and rectovaginal fistula in a patient with a neglected pessary placed for pelvic organ prolapse.
Conservative treatment
Gynecology
Gynécologie
Pelvic organ prolapse
Pessaire
Pessary
Prolapsus uro-génital
Traitement conservateur
Journal
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
ISSN: 1166-7087
Titre abrégé: Prog Urol
Pays: France
ID NLM: 9307844
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
25
07
2022
accepted:
12
08
2022
pubmed:
31
8
2022
medline:
1
12
2022
entrez:
30
8
2022
Statut:
ppublish
Résumé
Pelvic organ prolapse is a very frequent affection especially in elderly women. Vaginal pessary is a common conservative treatment and recommended as first line therapy. Guidelines recommend to do a regular follow up every 6 to 12 months with a healthcare professional. We report the case of a patient with neglected vaginal pessary who had a vesicovaginal and a concomitant rectovaginal fistula. A 84-year-old woman was admitted for chronic pelvic pain and vaginal discharge. An entrapped cube pessary was removed and the diagnostic of a 3cm rectovaginal fistula with a vesicovaginal fistula was made. The patient had a two-stage surgery, vaginal way then open abdominal way, for closing the fistulas. Although vaginal pessary is a good conservative treatment for POP, it shall not be neglected or serious complications can be caused.
Identifiants
pubmed: 36041957
pii: S1166-7087(22)00390-6
doi: 10.1016/j.purol.2022.08.012
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1543-1545Informations de copyright
Copyright © 2022. Published by Elsevier Masson SAS.