Publication:

Encapsulated vaginal pessary

A ring pessary may be used for a prolapsed uterus. Forgotten pessaries produce many complications. We describe a case where the pessary was embedded in the vaginal mucosa. A 55 year old woman presented to the OPD with complaints of mass descending per vagina. On examination there was a pessary embedded in the posterior vaginal wall and it was removed under i.v. sedation. The pessary should be checked at 3 to 6 monthly intervals, and cleaned or changed as necessary. It is advisable to use polythene pessary which is inert. If pessaries are neglected and remain in situ for long periods of time (generally more than 4 months), serious complications can occur.