{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T09:18:33Z","timestamp":1780996713114,"version":"3.54.1"},"reference-count":7,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,23]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2019-233986","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T02:28:03Z","timestamp":1594952883000},"page":"e233986","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Open removal of a migrated Gellhorn pessary and repair of a vesicovaginal fistula"],"prefix":"10.1136","volume":"13","author":[{"given":"Sylvia","family":"Yan","sequence":"first","affiliation":[{"name":"Urology, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Walker","sequence":"additional","affiliation":[{"name":"Epsom and Saint Helier University Hospitals NHS Trust, Epsom, Surrey, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul H","family":"Sultan","sequence":"additional","affiliation":[{"name":"Croydon University Hospital, Croydon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,7,16]]},"reference":[{"key":"2025082802092335000_13.7.e233986.1","doi-asserted-by":"crossref","first-page":"400","DOI":"10.5489\/cuaj.2783","article-title":"An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse","volume":"9","author":"Abdulaziz","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"2025082802092335000_13.7.e233986.2","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1007\/s00192-014-2329-6","article-title":"How often should shelf\/Gellhorn pessaries be changed? A survey of IUGA urogynaecologists","volume":"25","author":"Khaja","year":"2014","journal-title":"Int Urogynecol J"},{"key":"2025082802092335000_13.7.e233986.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2010.12.039"},{"key":"2025082802092335000_13.7.e233986.4","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s00192-016-3188-0","article-title":"Pessary migration into the bladder: a rare episode of removal and repair of a vesicovaginal fistula","volume":"28","author":"Gauta","year":"2017","journal-title":"Int Urogynecol J"},{"key":"2025082802092335000_13.7.e233986.5","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.1136\/bcr-2018-228415","article-title":"Neglected doughnut pessary in the uterine cavity","volume":"12","author":"Asumpinwong","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082802092335000_13.7.e233986.6","first-page":"117","article-title":"What is hiding behind the pessary?","volume":"18","author":"Martin","year":"2007","journal-title":"Int Urogynecol J"},{"key":"2025082802092335000_13.7.e233986.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0089-7"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:09:35Z","timestamp":1756372175000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7,16]]},"published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1136\/bcr-2019-233986"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233986","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}