Premium
Successful Case of Conservative Treatment of Vesicovaginal Fistula by Hodge Pessary Insertion
Author(s) -
PARK SooHwan,
PARK Won Hee,
KIM Hyeong Gon
Publication year - 2015
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12061
Subject(s) - pessary , medicine , vesicovaginal fistula , surgery , vagina , fistula , foley catheter , catheter
Case An 88‐year‐old woman visited us with a complaint of total urinary leak, and was diagnosed as having vesicovaginal fistula after pessary insertion. A part of pessary was seen in the bladder and it was removed by cutting pessary in the vagina. And then she was managed by antibiotics, local estrogen cream and Foley catheter indwelling. Outcome Vesicovaginal fistula was healed completely. This is the first successful case of conservative treatment of vesicovaginal fistula caused by vaginal pessary without surgical repair. Conclusion The conservative approach could be an option of treatments of vesicovaginal fistula caused by neglected vaginal pessary.