title: Successful Case of Conservative Treatment of Vesicovaginal Fistula by Hodge Pessary Insertion.
abstract: METHODS
  An 88-year-old woman visited us with a complaint of total urinary leak, and was diagnosed as having vesicovaginal fistula after pessary insertion. A part of pessary was seen in the bladder and it was removed by cutting pessary in the vagina. And then she was managed by antibiotics, local estrogen cream and Foley catheter indwelling.
  
  
  RESULTS
  Vesicovaginal fistula was healed completely. This is the first successful case of conservative treatment of vesicovaginal fistula caused by vaginal pessary without surgical repair.
  
  
  CONCLUSIONS
  The conservative approach could be an option of treatments of vesicovaginal fistula caused by neglected vaginal pessary.
authors.affiliation: Department of Urology, School of Medicine, Inha University, Incheon, Korea.
authors.forename: Soo-Hwan
authors.initials: SH
authors.lastname: Park
authors.affiliation: Department of Urology, School of Medicine, Inha University, Incheon, Korea.
authors.forename: Won Hee
authors.initials: WH
authors.lastname: Park
authors.affiliation: Department of Urology, Konkuk University Medical Center, Seoul, Korea.
authors.forename: Hyeong Gon
authors.initials: HG
authors.lastname: Kim
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010570:Pessaries / Q000009:adverse effects*; D014546:Urinary Catheterization; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents; D004967:Estrogens
keywords: Hodge pessary; conservative treatment; vesicovaginal fistula