International Urogynecology Journal

, Volume 18, Issue 1, pp 117–119

Management of the neglected vaginal ring pessary

  • Ruwan J. Fernando
  • Abdul H. Sultan
  • Ranee Thakar
  • K. Jeyanthan
Case Report

DOI: 10.1007/s00192-006-0089-7

Cite this article as:
Fernando, R.J., Sultan, A.H., Thakar, R. et al. Int Urogynecol J (2007) 18: 117. doi:10.1007/s00192-006-0089-7

Abstract

We present two cases of vaginal pessaries left in situ for prolonged periods and subsequent impaction that were managed differently. One was partially epithelialized and removed in the outpatient clinic by a new technique whereby the ring pessary was divided by a bone-cutter and passed through the epithelial tunnel without anesthesia. The second, which was a completely epithelialized metal ring pessary, was removed under anesthesia. Resulting fibrosis can cure the prolapse.

Keywords

Pelvic organ prolapseRing pessaryComplications of pessaries

Copyright information

© International Urogynecology Journal 2006

Authors and Affiliations

  • Ruwan J. Fernando
    • 1
  • Abdul H. Sultan
    • 1
  • Ranee Thakar
    • 1
  • K. Jeyanthan
    • 1
  1. 1.Urogynecology Unit, Department of Obstetrics and GynecologyMayday University HospitalCroydonUK