Priority 14 from the Pessary use for Prolapse PSP

UNCERTAINTY: Are pessaries effective in the treatment of prolapse? (JLA PSP Priority 14)
Overall ranking 14
JLA question ID 0054/14
Explanatory note Very few randomised controlled trials -which are  considered to be the most rigorous type of research - have been conducted to enable this question to be answered. Examples: Can a pessary actually make a POP better/improve? How effective is a pessary at treating a prolapse?
Evidence

The best available review is: Bugge C, Adams EJ, Gopinath D, Reid F. Pessaries (mechanical devices) for pelvic organ prolapse in women. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD004010. DOI: 10.1002/14651858.CD004010.pub3
Health Research Classification System category Renal and urogenital
Extra information provided by this PSP
Original uncertainty examples

How effective is the pessary in treating POP?  ~  How effective are pessaries at improving quality of life for women with grade 1/2 prolapse?  ~  Will it make the prolapse better?
Submitted by 2 x healthcare professionals, 3 x women, 1 x literature
PSP information
PSP unique ID 0054
PSP name Pessary use for Prolapse
Total number of uncertainties identified by this PSP. 66  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 8 September 2017