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Pelvic organ prolapse — DRCOG MCQ

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HardUrogynaecologyPelvic organ prolapseDRCOG

A 68-year-old woman has a dragging vaginal bulge worse by evening. Examination shows anterior vaginal wall prolapse to the hymen. She is sexually active and wants to avoid surgery. What is the most appropriate management?

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

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Correct answer: E — Offer pelvic floor training and discuss a vaginal pessary

Symptomatic pelvic organ prolapse can be managed conservatively with pelvic floor muscle training and a pessary if surgery is not desired. Hysterectomy is not first-line for a woman requesting non-surgical care. The pearl is that pessary care requires follow-up and vaginal tissue assessment.

Reference: NICE NG123