Urosepsis Associated with Vaginal Pessary Use

Overview

Journal Ann Emerg Med

Specialty Emergency Medicine

Date 1999 Apr 27

PMID 10216336

Citations 4

Authors

R J Roberge

M M McCandlish

M L Dorfsman

Affiliations

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Abstract

Conservative management of genital prolapse in older women uses vaginal pessaries. Infectious complications of these devices, attributable in some instances to poor routine maintenance, are uncommonly reported. We present 2 cases of genitourinary sepsis associated with unsuspected pessary use and discuss the spectrum of complications reported with these appliances.

Citing Articles

International Urogynecology Consultation Chapter 3 Committee 1 - Pessary Management.

Rantell A, Abdool Z, Fullerton M, Gedefaw A, Lough K, Miotla P Int Urogynecol J. 2025; .

PMID: 39873780 DOI: 10.1007/s00192-024-06020-x.

Rare complications of pessary use: A systematic review of case reports.

Dabic S, Sze C, Sansone S, Chughtai B BJUI Compass. 2022; 3(6):415-423.

PMID: 36267197 PMC: 9579882. DOI: 10.1002/bco2.174.

An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse.

Abdulaziz M, Stothers L, Lazare D, Macnab A Can Urol Assoc J. 2015; 9(5-6):E400-6.

PMID: 26225188 PMC: 4479661. DOI: 10.5489/cuaj.2783.

How often should shelf/Gellhorn pessaries be changed? A survey of IUGA urogynaecologists.

Khaja A, Freeman R Int Urogynecol J. 2014; 25(7):941-6.

PMID: 24531407 DOI: 10.1007/s00192-014-2329-6.

Survey of the characteristics and satisfaction degree of the patients using a pessary.

Bai S, Yoon B, Kwon J, Shin J, Kim S, Park K Int Urogynecol J Pelvic Floor Dysfunct. 2004; 16(3):182-6.

PMID: 15578156 DOI: 10.1007/s00192-004-1226-9.