Rectovaginal Fistula in Women With Pessary for Pelvic Organ Prolapse: A Case Series and Literature Review.
| Autor: | Miranda Varella Pereira G; Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, São Paulo, Brazil., Oliveira Brito LG, Slongo H, Carvalho de Araújo C, Benedito de Castro E, Teatin Juliato CR |
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| Jazyk: | angličtina |
| Zdroj: | Journal of lower genital tract disease [J Low Genit Tract Dis] 2021 Oct 01; Vol. 25 (4), pp. 318-325. |
| DOI: | 10.1097/LGT.0000000000000629 |
| Abstrakt: | 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. Competing Interests: G.M.V.P received a scholarship grant (2019/26723-5) from the São Paulo Research Foundation (FAPESP). C.C.A received a scholarship grant from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The other authors have declared they have no conflicts of interest. (Copyright © 2021, ASCCP.) |
| Databáze: | MEDLINE |
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