Vaginal Cancer: Association with long term use of Pessary in Pelvic Organ Prolapse

Authors

  • Hamida Begum Professor, Faculty of Medicine, Widad University College, Kuantan 25200, Pahang Malaysia
  • Maliha Rashid Professor & Head(Ex), Dept of Obst & Gynae Dhaka Medical College & Hospital, Dhaka
  • Shamima Haider Consultant, Obstetrician & Gynaecologist, Impulse General Hospital, Dhaka
  • Fatima Zohra Consultant, Obstetrician & Gynaecologist, Brisbane, QLD Australia

DOI:

https://doi.org/10.3329/jbcps.v42i1.70647

Keywords:

(POP) Pelvic organ prolapse, Ring pessary

Abstract

Vaginal cancer, rarest form of gynaecological cancer (0.6%) has been found to be associated with long term use of vaginal ring pessary, which have long been used in alternative management of pelvic organ prolapse (POP) other than surgery. A survey was done in remote areas of Cox’s bazar, refugee camp in 2019 where out of 52 cases of pelvic organ prolapse, 7 cases found to use vaginal ring pessary for long and out of 7, vaginal cancer developed in 4 cases. All of them were aged women above 60 and had defaulted follow up presented with vaginal bleeding, varying discharge and pain of varying intensity. One patient had only local lesion –surgical removal followed by radiotherapy and 2nd one,68 years, received neo-adjuvant therapy and died before planned surgery. The 3rd one, aged 79, did not come for follow up once diagnosis vaginal cancer done and advised for definitive surgical treatment, family refused operation and she passed away after 2 years at 81 years. The 4th one declined further investigations and any form of treatment when diagnosed with vaginal cancer. So, all patients of pelvic organ prolapse should be informed thoroughly (both verbal and written informed consent) before inserting pessary for potential long term serious consequences where strict compliance must be ensured for subsequent regular follow up and biopsy should be mandatory for any suspicious chronic vaginal ulcers among them.

J Bangladesh Coll Phys Surg 2024; 42: 78-81

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Published

2024-01-10

How to Cite

Begum, H. ., Rashid, M. ., Haider, S. ., & Zohra, F. . (2024). Vaginal Cancer: Association with long term use of Pessary in Pelvic Organ Prolapse. Journal of Bangladesh College of Physicians and Surgeons, 42(1), 78–81. https://doi.org/10.3329/jbcps.v42i1.70647

Issue

Vol. 42 No. 1 (2024)

Section

Case Reports

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