Pessaries and rectovaginal fistulae: consequences of delayed clinical follow-up in the Covid-19 pandemic.
Int Urogynecol J
; 32(9): 2353-2356, 2021 09.
Article
in English
| MEDLINE | ID: covidwho-1300453
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
While 2017 guidelines from The American College of Obstetricians & Gynecologists called for pessary replacement every 3 to 4 months, a recent study in Obstetrics and Gynecology suggested that uninterrupted pessary use up to 6 months is not an independent risk factor for development of pessary-related complications.METHODS:
Our recent experience throughout the Covid-19 pandemic highlights the potential ramifications of delayed clinical follow-up.RESULTS:
During the Covid-19 pandemic, 3 of our patients developed rectovaginal fistulae secondary to Gellhorn pessary erosion in the context of delayed clinical follow-up. Our patients had previously attended routine appointments every 3 months without complications until missed appointments secondary to the pandemic led to fistulae formation.CONCLUSION:
We believe that delayed clinical follow-up of pessary management beyond 3 months due to the Covid-19 pandemic may lead to fistula complications in elderly women with Gellhorn pessaries.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pelvic Organ Prolapse
/
COVID-19
Type of study:
Cohort study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Int Urogynecol J
Journal subject:
Gynecology
/
Urology
Year:
2021
Document Type:
Article
Affiliation country:
S00192-021-04926-4
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