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Case report
Open removal of a migrated Gellhorn pessary and repair of a vesicovaginal fistula
  1. Sylvia Yan1,
  2. Roger Walker2 and
  3. Abdul H Sultan3
  1. 1Urology, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, UK
  2. 2Epsom and Saint Helier University Hospitals NHS Trust, Epsom, Surrey, UK
  3. 3Croydon University Hospital, Croydon, UK
  1. Correspondence to Sylvia Yan; sylvia.yan{at}


This is a case of a 91-year-old woman presenting with urinary incontinence following insertion of a Gellhorn pessary 10 months previously. She had unfortunately missed her 6 months appointment for a change of pessary as she was admitted to hospital. Our patient was found to have had erosion of her Gellhorn shelf pessary into her urinary bladder. She underwent an open removal of the migrated Gellhorn pessary in the bladder and repair of the vesicovaginal fistula with omental interposition. She recovered well and has elected to keep her suprapubic catheter long-term.

  • unwanted effects / adverse reactions
  • safety
  • obstetrics, gynaecology and fertility
  • urinary and genital tract disorders
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  • Contributors SY involved in planning, acquisition of data, literature review and reporting. RW contributed in planning, acquisition of data and reporting. AS involved in planning, acquisition of data and reporting.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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