Pessary-induced rectovaginal fistula: A case report and literature review

Craig E. Amshel, Nichole R. Tripician, Floriano Marchetti, Michael D. Hellinger, Laurence R. Sands

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Rectovaginal fistulas (RVFs), although uncommon, are a difficult disease process seen in colon and rectal surgery and gynecologic surgery. It is even more unusual to find an RVF that has been caused by an erosion of a foreign body. We report a patient who neglected to properly maintain her vaginal pessary for 15 years and who subsequently developed an RVF. A literature review of pessaries, their management, and the treatment of RVFs is also presented.

Original languageEnglish (US)
Pages (from-to)215-218
Number of pages4
JournalJournal of Pelvic Medicine and Surgery
Issue number4
StatePublished - 2005


  • Anovaginal fistula
  • Pessary
  • Rectovaginal fistula

ASJC Scopus subject areas

  • Surgery


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