Incarcerated Vaginal Pessary: A Rare Complication

Abstract

Objective: A patient with uterine prolapse (procidentia uteri) received a vaginal pessary, which became incarcerated in the vaginal wall. Case Report: A 70-year-old female patient had been treated for uterine prolapse by insertion of a ring-shaped silicone pessary for about 3 to 4 years. The patient neglected the pessary, which unfortunately became incarcerated in the vaginal wall; it was impossible to remove. Finally, the pessary was displaced after cutting it into two pieces under general anesthesia. Conclusion: After having inserted a vaginal pessary, patients need to be instructed on its regular removal and cleaning to prevent complications such as infection, ulceration, and incarceration.

Keywords

• incarceration
• procidentia uteri
• vaginal pessary