Abstract
Purpose: Complications of misuse and neglect of pessaries and treatment is discussed. The vaginal pessary is a useful tool for the management of a number of urogynecologic conditions. Although, the pessary is a safe device, it is still a foreign body and complications may occur. Serious complications are rare but can be difficult to manage. Case: An unusual case of a rectovaginal fistula secondary to pessary erosion is reported. This is the seventh reported case of an isolated rectovaginal fistula from a pessary. Conclusion: Indications and results of misuse and neglect of pessaries are discussed. Clinicians should be aware of such complications and appropriate precautions should be undertaken to prevent potential problems.
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