Priority 5 from the Pessary use for Prolapse PSP

UNCERTAINTY: Are pessaries effective as a long-term treatment for prolapse? (JLA PSP Priority 5)
Overall ranking 5
JLA question ID 0054/5
Explanatory note Pessaries may be offered to women as a short term treatment option until surgery to correct the prolapse is desired or suitable. If the pessary is well tolerated and reduces the symptoms effectively, it is not known whether to offer pessary management for prolapse for as long as the women is happy with the treatment. Long term studies following women using pessaries for over 5 years are required to answer this question. Examples: How long can they be used for if there are no problems? How long would a pessary last? i.e when would it need replacing?
Evidence

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

How long can they be used for?  ~  How long would a pessary last? i.e when would it need replacing?  ~  How long can pessaries safely be used for in years with appropriate cleaning and replacement as required?  ~  Is there a time limit to pessaries use? Eg 5 or 10 years?  ~  
Is long term use of a cube or any other type of pessary safe?  ~  How long are patients happy to wear them and what comes next - I.e surgery
Submitted by 1 x both, 5 x women, 3 x healthcare professionals
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