5th May 2024

A 68-year-old woman presents with a symptomatic vaginal prolapse.

A 68-year-old woman presents with a symptomatic vaginal prolapse. She reports a sensation of a vaginal bulge and discomfort during physical activities. She has no history of urinary incontinence and is sexually active. She desires a treatment that preserves sexual function.

Which is the most appropriate first-line management?