[Complications related to pessary use in the treatment of female pelvic organ prolapse].

Pelvic organ prolapse affects 40% of women over 40 years. Pessaries are often used as a first-line treatment and give high patient satisfaction. Complications of pessaries are rare, but vaginal erosions can lead to adhesions, haemorrhage, impaction and migration. This year we have seen an increase in pessary complications in our hospital after check-ups were postponed. In this article, we present a case of a complication of a vaginal pessary after the postponement of a follow-up visit in the COVID-19 era. An 85-year old woman had a pessary which had migrated into the bladder, 8 months after her last check-up. The fistula was repaired and a new pessary could be fitted after 6 weeks. Vaginal erosions can be prevented by good fitting, local estrogens and self-management. Early detection can be achieved with careful follow-up and patient education. Erosions can be treated with local estrogens and temporary removal of the pessary.