A New Application for Bolt Cutters in Urogynecology: Challenging Removal of an Impacted Pessary
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Pessaries are commonly used to treat pelvic organ prolapse. While these devices generally pose negligible risk, serious morbidity can be associated with neglected use. Case Presentation: A 91-year-old woman began to experience acute pain related to an impacted pessary. An Exam in the operating room under anesthesia revealed that the pessary was deeply embedded within the vaginal canal and was noted to have a hard metal wire under a rubber exterior. An intraoperative orthopedic consult was obtained to facilitate discussion and selection of tools outside the typical gynecological scope to remove the pessary. A combination of bolt cutters and rongeur forceps were used to successfully remove the pessary. Conclusion: Consideration of instruments outside traditional gynecology including bolt cutters may be considered when faced with a difficult removal of foreign bodies embedded in gynecological tissues.
Institutions: Kaiser Permanente, University of Southern California
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7117986221
FWCI:
Cites:
Cited by:
Related to: