Outcome	Units	I	II	III
A. Patients' observations
perceived alleviation of prolapse symptoms
acceptability/ satisfaction with outcome of treatment
B. Objective measures
grade of prolapse with device in situ judged on clinical examination e.g. (which system?? ‐ ICS POP‐Q system (Bump 1996)
Site‐specific grading of prolapse judged on clinical examination e.g. ICS POP‐Q system (Bump 1996)
C. Quality of Life
prolapse‐specific quality of life questionnaire e.g. P‐QoL (Bump 1996)
generic quality of life or health status measures e.g. SF‐36 (Ware 1992)
psychological outcome measures e.g. Hospital Anxiety and Depression Score (Zigmond 1983)
D. Measures of Associated Symptoms
bladder problems (including UI, occult UI, relief of voiding difficulty)
bowel problems (including relief of obstructed defaecation)
sexual function (including acceptability to both partners)
E. Complications
associated with pessary use: fistula formation, ulceration, bleeding, discharge etc. [record all complications]
Reasons for device removal
F. Socio‐economic evaluations
cost comparisons