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  • Title: Impaction after partial expulsion of a neglected pessary.
    Author: Berger J, Van den Bosch T, Deprest J.
    Journal: Obstet Gynecol; 2009 Aug; 114(2 Pt 2):468-470. PubMed ID: 19622964.
    Abstract:
    BACKGROUND: Vaginal pessaries are effective for treating pelvic organ prolapse, and severe complications are rare. We describe an exceptional case of pessary impaction with partial expulsion. CASE: An elderly woman had mild discomfort from a pessary protruding through the perineal skin. The pessary was cut, removed, and the perineum healed uneventfully. CONCLUSION: Negligence of vaginal pessaries may result in migration to the bladder or to the rectum. This case of perineal expulsion was eventually easily treated. Although no evidence-based guidelines for pessary care exist, this rare manifestation suggests the need for follow-up on a regular basis.
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