DOI: 10.36347/sjmcr.2014.v02i01.020

Pages: 50-51

A ring pessary may be used for a prolapsed uterus. Forgotten pessaries produce many complications. We describe a case where the pessary was embedded in the vaginal mucosa following prolonged retention resulting in vaginal wall fibrosis. A 70 year old woman presented to the OPD with complaints of foul smelling discharge from vagina and occasional bloody discharge. She was found to be having an impacted ring pessary and it was removed under sedation. A review of the relevant literature was undertaken and complications associated with vaginal pessaries are reviewed. The pessaries should be checked at 3 to 6 monthly intervals, and cleaned or changed as necessary. It is advisable to use polythene pessary which is inert. If pessaries are neglected and remain in situ for long periods of time (generally more than 4 months), complications can occur.