Intravesical foreign body and vesicovaginal fistula: a rare complication of a neglected pessary.
A silicone Gellhorn pessary, 3 inches in diameter, neglected for several years in an elderly woman, eroded through the anterior vaginal wall, ultimately to lie entirely within the bladder. General anesthesia and bilateral deep full-length Schuchardt's incisions were required to remove it. A Latzko procedure was done at a later date to close the large vesicovaginal fistula; similar Schuhardt's incisions were again used.
Grody
M H
MH
Temple University School of Medicine, Philadelphia, Pennsylvania, USA.
Nyirjesy
P
P
Chatwani
A
A
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005547:Foreign Bodies; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D013997:Time Factors; D001743:Urinary Bladder; D014596:Uterine Prolapse / Q000628:therapy; D014719:Vesicovaginal Fistula / Q000209:etiology*