Adhikari, APoudel, ADangal, G2026-01-082026-01-082024https://hdl.handle.net/20.500.14572/4150Adhikari A,1 Poudel A,1 Dangal G2 1Department of Obstetrics and Gynecology Paropakar Maternity and Women’s Hospital National Academy of Medical Sciences (NAMS) Kathmandu, Nepal 2Department of Obstetrics and Gynecology Kathmandu Model Hospital National Academy of Medical Sciences (NAMS) Kathmandu, NepalABSTRACT An 80-year-old lady was brought with the three-month history of irreducible prolapse with infected ulcer at anterior vaginal wall. She initially attempted home remedies for infection with locally available materials. On examination she was ill looking, febrile with stage IV prolapse according to pelvic organ prolapse quantification classification. She was treated initially with antiseptic wash, followed by local estrogen therapy and glycerine. Prolapse was repositioned when edema decreased and held in place with silicon ring pessary with definitive management planned for later date. KEY WORDS Incarcerated prolapse, Irreducible prolapse, Ulceren-USIncarcerated prolapseIrreducible prolapseUlcerArticle