Abstract
Abstract Vaginal pessary is a safe device for the conservative management of pelvic organ prolapse. Incarceration, a rare long-term complication of this device due to lack of follow-up is here presented. A 63 year-old postmenopausal woman had insertion of a silicone ring-shaped vaginal pessary for the management of pelvic organ prolapse. She stopped follow-up only to discover she could not remove the pessary which had become very adherent to the vaginal wall. She had excision of vaginal tissue and removal of the pessary under sedation. Women on vaginal pessary need regular follow-up to avoid complications such as infection, ulceration and incarceration. Keywords: Vaginal Pessary, Prolapse, Incarcerated
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