Standing in Obstetrics & Gynecology — 81yo Woman | General Gynecology | SMLE Q#17951
SMLE Question #17951
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-213
Last updated: February 2026
An 81-year-old woman (G6P6) has a 1-year history of vaginal bulge and pelvic pressure, worse with standing. She is bedbound after a prior stroke and requires full assistance with daily activities. She has a mechanical heart valve and takes warfarin with stable therapeutic INR. She is not sexually active and does not desire future vaginal intercourse. Pelvic examination shows stage III pelvic organ prolapse involving apical and anterior compartments, without ulceration or infection. Which is the most appropriate management?
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