Rectovaginal Fistula in Women With Pessary for Pelvic Organ Prolapse: A Case Series and Literature Review.

Abstract

OBJECTIVE:

In this study, we present a series of 2 cases of rectovaginal fistula (RVF) due to the use of a ring-type pessary in the conservative treatment of pelvic organ prolapse and a literature review on the management of RVF related to the use of pessaries.

METHODS:

Two patients were selected from the medical records of the urogynecology service, and their demographic and clinical data were retrieved. An updated literature review was included presenting cases of RVF induced by or after use of a pessary.

RESULTS:

Both patients evolved with removal of the pessary and correction of the fistula. The surgical procedures of choice were Le Fort Colpocleisis and posterior colporraphy without major complications. In the literature review, we selected 17 studies with a total of 23 cases reporting RVFs induced or followed by the use of pessaries.

CONCLUSIONS:

Although the pessary is commonly indicated for the conservative treatment of pelvic organ prolapse, this device is not exempt from generating complications.

• Authors: Glaucia Miranda Varella Pereira, Luiz Gustavo Oliveira Brito, Helena Slongo, Camila Carvalho de Araújo, Edilson Benedito de Castro, Cássia Raquel Teatin Juliato
• Journal: Journal of lower genital tract disease (J Low Genit Tract Dis) Vol. 25 Issue 4 Pg. 318-325 (Oct 01 2021) ISSN: 1526-0976 [Electronic] United States
• PMID: 34542087 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2021, ASCCP.

Topics

• Female
• Humans
• Pelvic Organ Prolapse (therapy)
• Pessaries (adverse effects)
• Rectovaginal Fistula (etiology)