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Pelvic organ prolapse — DRCOG MCQ

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ModerateUrogynaecologyPelvic organ prolapseDRCOG

A 67-year-old woman feels a vaginal bulge when standing and has mild dragging discomfort. She has no urinary retention, ulceration or bleeding. Examination shows stage 2 uterovaginal prolapse. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Offer pelvic floor muscle training and discuss vaginal pessary

Symptomatic pelvic organ prolapse can be managed initially with lifestyle measures, pelvic floor muscle training and pessary discussion. Emergency surgery is not indicated in uncomplicated stage 2 prolapse. Antibiotics do not treat prolapse. Endometrial biopsy is driven by abnormal bleeding or endometrial concerns, not uncomplicated bulge symptoms.

Reference: NICE NG123