I have a worsening uterine prolapse which is now making it difficult to empty my pouch under most circumstances. I try to splint it while emptying but it does not work very well and I can't imaging having to do this indefinitely. Also can't imaging having sex like this. Has anyone had any luck with pessaries and the pouch? I'm so depressed. I think I also have a cystocele as well. Both occurred since takedown--never any pelvic issues before and now my cervix is practically falling out when I empty. Anyone have a miraculous improvement in prolapse without surgery? I'm seeing Bo Shen for a persistent sinus tract and possibly floppy pouch complex and he says to avoid hysterectomy and/or oopherectomy at all costs as it can negatively impact my already crappy pouch functioning. Does it ever end?