Vaginal correction of genital prolapse treated for myiasis
Myiasis is a parasitic infection caused by fly larvae in humans. It rarely occurs in the urinary tract, although it has been detected in individuals with poor hygiene, those with psychiatric disorders, and those living in rural areas of tropical and subtropical regions.

A 77-year-old, G2P2 woman presented to the emergency room of our gynecology division with genital itching and bleeding, and a fever that commenced two weeks ago. She observed a bulge from a pelvic organ prolapse (POP) five years ago but did not seek treatment; this symptom progressed into a foul-smelling discharge from the protrusion.

Her medical history included arterial hypertension, type 2 diabetes, and hypothyroidism. Physical examination revealed a 10?×?5 cm shallow ulcerated region in the posterior compartment of a complete POP, with two major infiltrations presenting several larvae.

The first-line therapy was manual extraction followed by topical ether administration. Oral ivermectin was prescribed and continued for seven days.

The Journal of Minimally Invasive Gynecology