Vesico-vaginal fistula presenting as overactive bladder in a case of Gellhorn pessary for vault prolapse Article Swipe
Mamta Bhat
,
Santanu Acharya
,
Wael Agur
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1136/bcr-2020-240331
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1136/bcr-2020-240331
An 81-year-old woman with early dementia was on a regular follow-up for change of Gellhorn pessary every 6 months for vault prolapse. She presented with frequency and urgency for 10 months duration 5 years into conservative management. Her symptoms did not improve on anticholinergics and lifestyle modifications. She underwent an opportunistic change of pessary under general anaesthesia coincidental to scalp wound debridement. On removal of the pessary, a gush of urine was noted followed by confirmation of a large vesico-vaginal fistula (VVF). In the initial period of follow-up, she was reviewed by the urogynaecology team and considered to be a poor surgical candidate for a major surgical procedure and was offered conservative measures with incontinence pads and possible indwelling catheter. Serious complications like fistulae can still occur despite well-managed pessary treatment. Earlier presentation with overactive bladder symptoms masked the VVF resulting in delayed diagnosis.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bcr-2020-240331
- OA Status
- green
- Cited By
- 2
- References
- 12
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3135577238Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bcr-2020-240331Digital Object Identifier
- Title
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Vesico-vaginal fistula presenting as overactive bladder in a case of Gellhorn pessary for vault prolapseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-03-01Full publication date if available
- Authors
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Mamta Bhat, Santanu Acharya, Wael AgurList of authors in order
- Landing page
-
https://doi.org/10.1136/bcr-2020-240331Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/7931760Direct OA link when available
- Concepts
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Medicine, Pessary, Surgery, Overactive bladder, Vaginal vault, Fistula, Presentation (obstetrics), Tolterodine, Urinary incontinence, Vagina, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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12Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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