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Pelvic organ prolapse (POP) is a problem faced by many elderly women, and the incidence is increasing year by year. The pessary treatment is not only a conservative treatment method but also a first-line treatment method for this disease. However, if it is used improperly, multiple complications may occur during the treatment process, severe cases have to receive surgical intervention, and some may even be life-threatening. At present, there is a lack of unified guidelines for the treatment of pessaries in the world. Non-standard treatment operations and poor patient compliance are closely related to the occurrence of complications. This article focuses on summarizing and categorizing the currently reported pessary -related complications, introduces a grading method for pessary-related complications, and proposes a few ways to the prevention of complications as following. [ABSTRACT FROM AUTHOR]

Objective: It focuses on how to improve the success rate of treatment of long -standing cervico-vaginal fistulas in different conditions and to relief the patients′symptoms. Methods:We analysed 15 cases registered and treated in Peking Union Medical College Hospital from September 2000 to October 2013, on their clinic conditions, surgery methods, effectiveness and follow-up. Results: According to the patients' individual conditions, 15 patients received different treatments respectively. Among 15 cases, 4 cases received directly-simple-repair, 5 cases received longitudinal-incision-repair, 4 cases received amputation and deformation of cervix, and 2 cases received hysterectomy. Only one case needed reoperation for relapse, the other 14 patients didn′t relapse or recomplain for those related symptoms as abnormal vaginal bleeding and vaginal secretions. Conclusions: According to individual conditions, it can improve the success rate of treatment and relief the patients′symptoms greatly by adopting different treatment. [ABSTRACT FROM AUTHOR]