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Pelvic organ prolapse — DRCOG MCQ

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ModerateUrogynaecologyPelvic organ prolapseDRCOG

A 70-year-old woman feels a vaginal bulge worse by evening. Examination shows a stage 2 anterior vaginal wall prolapse. She is not 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: A — Offer pessary fitting and pelvic floor muscle training

Symptomatic pelvic organ prolapse can be managed conservatively with pelvic floor muscle training and a vaginal pessary if suitable. Surgery is not first-line when she wants to avoid it and symptoms are manageable. Antimuscarinics do not treat prolapse itself. The pearl is that pessaries can be highly effective and align with patient preference.

Reference: NICE NG123