Gynecology and Obstetrics Department, Bicetre Hospital, GHU Sud, AP-HP, 94276, Le Kremlin Bicetre, France.
Gynecology and Obstetrics Department, Bicetre Hospital, GHU Sud, AP-HP, 94276, Le Kremlin Bicetre, France.
Prog Urol. 2022 Dec;32(17):1543-1545. doi: 10.1016/j.purol.2022.08.012. Epub 2022 Aug 28.
Pelvic organ prolapse is a very frequent affection especially in elderly women. Vaginal pessary is a common conservative treatment and recommended as first line therapy. Guidelines recommend to do a regular follow up every 6 to 12 months with a healthcare professional. We report the case of a patient with neglected vaginal pessary who had a vesicovaginal and a concomitant rectovaginal fistula.
A 84-year-old woman was admitted for chronic pelvic pain and vaginal discharge. An entrapped cube pessary was removed and the diagnostic of a 3cm rectovaginal fistula with a vesicovaginal fistula was made. The patient had a two-stage surgery, vaginal way then open abdominal way, for closing the fistulas.
Although vaginal pessary is a good conservative treatment for POP, it shall not be neglected or serious complications can be caused.
盆腔器官脱垂是一种非常常见的疾病，尤其在老年女性中更为常见。阴道子宫托是一种常见的保守治疗方法，被推荐为一线治疗方法。指南建议每 6-12 个月由专业医疗保健人员进行定期随访。我们报告了一位被忽视的阴道子宫托患者的病例，该患者患有膀胱阴道和同时存在的直肠阴道瘘。
一位 84 岁女性因慢性盆腔疼痛和阴道分泌物而入院。我们取出了一个嵌顿的子宫托，并诊断出一个 3cm 的直肠阴道瘘和一个膀胱阴道瘘。该患者接受了两阶段手术，阴道途径和开放腹部途径，以闭合瘘管。
尽管阴道子宫托是 POP 的一种很好的保守治疗方法，但不应被忽视，否则可能会导致严重的并发症。
