This study compared pessary self-management to clinic-based care for pelvic organ prolapse (POP). Involving 340 women, results showed no significant difference in pelvic floor-specific quality of life at 18 months. Self-management proved less costly with fewer complications, instilling greater patient confidence. These findings offer a potential, cost-effective alternative in POP care. https://doi.org/10.1016/j.eclinm.2023.102326 Pelvic organ prolapse… Continue reading Clinical effectiveness of vaginal pessary self-management vs clinic-based care for pelvic organ prolapse (TOPSY): a randomised controlled superiority trial