Prolapse surgery

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

Women who had surgery reported significantly greater improvements in PROMIS Physical Function, Social Roles, and Depression domains compared to the pessary group (P<0.05), including when compared only

Effect: improvement; Physical Function mean change 8.7 surgery vs 5.2 pessary continuers; Depression mean change 4.0 surgery vs 0.5 pessary continuers

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment

A higher proportion of women in the surgery arm reported successfully achieving symptom and function goals compared to pessary, with 97% of surgery patients reporting 'much better' or 'very much bette

Effect: improvement; 56% surgery vs 39% pessary continuation vs 5% pessary discontinuation achieved 100% goal attainment