Bangle pessary: An unusual cause of vesicovaginal fistula

Abhishek Kumar Shukla; M K Tangri; Ashutosh Kumar; Vinod Kumar Dalal

doi:10.1016/j.mjafi.2021.06.030

Bangle pessary: An unusual cause of vesicovaginal fistula

Med J Armed Forces India. 2023 Jul-Aug;79(4):478-480. doi: 10.1016/j.mjafi.2021.06.030. Epub 2021 Sep 7.

Authors

Abhishek Kumar Shukla¹, M K Tangri², Ashutosh Kumar³, Vinod Kumar Dalal⁴

Affiliations

¹ Classified Specialist (Urology), Army Hospital (R&R), Delhi Cantt, India.
² Head of Department (Obst & Gynaec), Army Hospital (R&R), Delhi Cantt, India.
³ Resident (Urology), Army Hospital (R&R), Delhi Cantt, India.
⁴ Faculty (Obst & Gynaec), Army Hospital (R&R), Delhi Cantt, India.

PMID: 37441296
PMCID: PMC10334212 (available on 2024-07-01)
DOI: 10.1016/j.mjafi.2021.06.030

Abstract

Vaginal pessaries are commonly used for uterine prolapse. Long forgotten pessaries get incarcerated in the vagina and may erode in the bladder and rectum. We present a unique case of a 60-year-old female patient who presented with dysuria and urge incontinence. In remote areas, bangles are still used as a pessary, which may present with atypical symptoms due to bladder perforation, encrustation, and Vesicovaginal fistula (VVF). VVF with a long curved tract can heal with prolonged catheterization. To our knowledge, this is the first case of glass bangle pessary being reported.

Keywords: Bangle; Cystotomy; Encrustation; Forgotten pessary; Vesicovaginal fistula.

Publication types

Case Reports