title: Management of the neglected vaginal ring pessary.
abstract: We present two cases of vaginal pessaries left in situ for prolonged periods and subsequent impaction that were managed differently. One was partially epithelialized and removed in the outpatient clinic by a new technique whereby the ring pessary was divided by a bone-cutter and passed through the epithelial tunnel without anesthesia. The second, which was a completely epithelialized metal ring pessary, was removed under anesthesia. Resulting fibrosis can cure the prolapse.
authors.affiliation: Urogynecology Unit, Department of Obstetrics and Gynecology, Mayday University Hospital, Croydon, Surrey, CR7 7YE, UK.
authors.forename: Ruwan J
authors.initials: RJ
authors.lastname: Fernando
authors.forename: Abdul H
authors.initials: AH
authors.lastname: Sultan
authors.forename: Ranee
authors.initials: R
authors.lastname: Thakar
authors.forename: K
authors.initials: K
authors.lastname: Jeyanthan
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D010388:Pelvis / Q000000981:diagnostic imaging; D010570:Pessaries / Q000009:adverse effects*; D011859:Radiography; D016896:Treatment Outcome; D019522:Vaginal Discharge / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery