Fernando, R.J., Sultan, A.H., Thakar, R. et al. Int Urogynecol J (2007) 18: 117. doi:10.1007/s00192-006-0089-7
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.
Pelvic organ prolapseRing pessaryComplications of pessaries