Patients aged 45 to 80 years with a clinical diagnosis of stage III and IV genital prolapse involving the anterior and/or middle compartments and candidates for surgery will be considered. These will be evaluated to observe whether there is improvement in clinical prolapse with the use of the vaginal pessary during the waiting period for surgery

Inclusion Criteria:

• Pelvic organ prolapse with POP-Q stage >/= 3 in anterior and/or central compartments
• Women between 45 and 80 years old

Exclusion Criteria:

• Women who refuse to participate in the study
• Patients without baseline POPQ examination documented or with a pessary previously positioned
• Previous pelvic surgeries
• Women with any contraindication for surgery or preference for conservative treatment only (pelvic muscle exercise, vaginal pessary)
• Women who are not successfully fitted with pessaries
• Current genital ulcers/infections
• Active or chronic pelvic infection
• Women who are mentally incapable of completing the questionnaires.

Women with symptomatic and documented POP (stages III and IV) through POPQ examination who opted for reconstructive surgery and managed with pessary until surgery will be included in the cohort.