Successful use of pessary for uterine prolapse after pelvic trauma in a nulliparous young female: A case report

RATIONALE: To date, sporadic studies have shown that a relationship exists between delayed pelvic organ prolapse (POP) and pelvic trauma, and these cases have all been managed with surgical procedures. PATIENT CONCERNS: A 29-year-old, nulliparous (Gravida 0) woman without sexual experience was referred to our gynecology outpatient clinic, complaining of a protruding vaginal mass 5 years after a traffic accident (hit by a truck when she was walking) that caused serious multiple injuries. DIAGNOSES: Stage 2 cystocele, stage 3 uterine prolapse, and stage 2 rectocele, pelvic trauma history. INTERVENTIONS: The woman was successfully managed with the Gellhorn size 2 pessary use. OUTCOMES: The short-term effect of pessary use was significant improvement. LESSONS: This is the first case report of the successful use of a pessary for POP after pelvic trauma in a nulliparous young female.