Priority 19 from the Pessary use for Prolapse PSP

UNCERTAINTY: Should women using pessaries be offered supervised pelvic floor muscle exercises? (JLA PSP Priority 19)
Overall ranking 19
JLA question ID 0054/19
Explanatory note see question 15. Additionally, clinicians do not know whether pessaries on their own will be effective or whether the outcomes of treatment with pessaries will be improved if pelvic floor muscles exercises were added to the treatment package. Example:  Is it of any benefit to continue pelvic floor strengthening exercises after receiving a pessary?
Evidence

None identified
Health Research Classification System category Renal and urogenital
Extra information provided by this PSP
Original uncertainty examples

Is it of any benefit to continue pelvic floor strengthening exercises after receiving a pessary?  ~  This is such a sensitive and silent subject and I believe that anyone wearing a pessary or even being offered one should also be offered more information about core stability exercises instead of just being fobbed off with "are you doing your pelvic floor exercises" . Education about our bodies is really really important for our children and grandchildren.  ~  What muscle training exercises might help?
Submitted by 1 x healthcare professionals, 3 x women
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