Successful Case of Conservative Treatment of Vesicovaginal Fistula by Hodge Pessary Insertion.

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.