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Vaginal bladder support device

Case contributed by Joyce Hsu
Diagnosis certain

Presentation

Past medical history of ovarian adenocarcinoma was sent for CT evaluation of target lesions.

Patient Data

Age: 60 years
Gender: Female

A radiopaque clamp-like object is seen in the vagina. 

Case Discussion

The incidentally discovered vaginal object was determined to be an over-the-counter bladder support device, this was confirmed by the patient.

Vaginal pessaries for the treatment of urinary stress incontinence come in a wide variety of shapes and sizes; many healthcare professionals are familiar with ring or cube vaginal pessaries. This particular bladder support device is unique in its shape. It is made of silicone and works similarly to other types of vaginal pessaries by lifting and supporting the urethra to prevent urinary stress incontinence. After the correct size is selected, it is inserted using a tampon-like device and is only to be used for a 12-hour span of time. Vaginal pessaries of this particular shape have been shown to be well-tolerated and effective in preventing urinary stress incontinence 1.

This case was co-authored with Anel Tankovic and is courtesy of Dr. Janet Munroe from the Department of Radiology at the Medical College of Georgia.

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