Bangle pessary: An unusual cause of vesicovaginal fistula

Vaginal pessaries are commonly used for uterine prolapse. Long forgotten pessaries get incarcerated in the vagina and may erode in the bladder and rectum. We present a unique case of a 60-year-old female patient who presented with dysuria and urge incontinence. In remote areas, bangles are still use...

Full description

Saved in:
Bibliographic Details
Published in:Medical journal. Armed Forces India 2023-07, Vol.79 (4), p.478-480
Main Authors: Shukla, Abhishek Kumar, Tangri, M.K., Kumar, Ashutosh, Dalal, Vinod Kumar
Format: Article
Language:English
Subjects:
Bangle
Case Report
Cystotomy
Encrustation
Forgotten pessary
Vesicovaginal fistula
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Vaginal pessaries are commonly used for uterine prolapse. Long forgotten pessaries get incarcerated in the vagina and may erode in the bladder and rectum. We present a unique case of a 60-year-old female patient who presented with dysuria and urge incontinence. In remote areas, bangles are still used as a pessary, which may present with atypical symptoms due to bladder perforation, encrustation, and Vesicovaginal fistula (VVF). VVF with a long curved tract can heal with prolonged catheterization. To our knowledge, this is the first case of glass bangle pessary being reported.
ISSN:0377-1237
2213-4743
DOI:10.1016/j.mjafi.2021.06.030