Bothersome Vaginal Bulge in Obstetrics & Gynecology — 80yo Woman | General Gynecology | SMLE Q#18497

SMLE Question #18497

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-GYN-POP-001

Last updated: February 2026
An 80-year-old woman with stage 3 pelvic organ prolapse presents with bothersome vaginal bulge and pelvic pressure. She is bedridden with poor functional status. She has a mechanical prosthetic heart valve and is on long-term warfarin. Her comorbidities make her high risk for anesthesia and major surgery. Which of the following is the most appropriate management?

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