Vaginal pessaries have been widely used as an effective nonsurgical treatment for
pelvic organ prolapse (POP) [
1
,
2
,
3
]. Among the several shapes of pessaries, the ring type is most common due to its ease
of removal and attachment. Minor complications, such as bleeding, abnormal vaginal
discharge, pain, and discomfort, accounting for 56% of all cases of ring pessary users,
can be reduced by self-management of the pessaries [
[1]
]. On the other hand, severe pessary-related complications are rare. Vesicovaginal
and rectovaginal fistulas, embedded pessaries and migration, hydronephrosis, and vaginal
and cervical cancer have been sporadically reported in long-term users, neglected
cases, and shelf or Gellhorn-type pessaries [
2
,
3
].To read this article in full you will need to make a payment
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References
- Long-term vaginal ring pessary use: discontinuation rates and adverse events.BJOG. 2009; 116: 1715-1721
- Complications of neglected vaginal pessaries: case presentation and literature review.Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19: 1173-1178
- An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse.Can Urol Assoc J. 2015; 9: E400-E406
- Natural history of pessary use in women aged 65–74 versus 75 years and older with pelvic organ prolapse: a 12-year study.Int Urogynecol J. 2016; 27: 1201-1207
- The effect of pessaries on the vaginal microenvironment.Am J Obstet Gynecol. 2015; 212: e1-e6
Article info
Publication history
Published online: March 02, 2023
Accepted:
February 28,
2023
Received in revised form:
December 30,
2022
Received:
September 24,
2022
Identification
Copyright
© 2023 Elsevier B.V. All rights reserved.
