Q. An 82-year-old woman presents with a mass protruding through the vagina. On examination, you confirm a procidentia with complete eversion of the vagina. Which one of the following recommendations is appropriate? She should avoid surgery in view of her age. Vaginal hysterectomy and repair is the appropriate permanent solution. Vaginal repair without hysterectomy is a preferable surgical solution in view of her age. She should avoid pessaries because of systemic complications. She may avoid the need for intervention by reducing the uterus manually.