title: A neglected shelf pessary resulting in a urethrovaginal fistula.
abstract: Vaginal pessaries are safe, simple and effective treatment for pelvic organ prolapse. However, they must be fitted and followed-up correctly as serious complications can arise when pessaries are neglected. In this case report, we present the first reported case of a urethrovaginal fistula due to a neglected shelf pessary.
authors.affiliation: Derby Royal Hospital, Uttoxeter Road, Derby, DE22 3NE, UK. katefwalker@doctors.org.uk
authors.forename: Kate F
authors.initials: KF
authors.lastname: Walker
authors.forename: Jaydip
authors.initials: J
authors.lastname: Dasgupta
authors.forename: Michael P
authors.initials: MP
authors.lastname: Cust
mesh_terms: D000369:Aged, 80 and over; D003558:Cystoscopy; D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000628:therapy; D010570:Pessaries / Q000009:adverse effects*; D014522:Urethral Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014624:Vaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery