@lesliesara
I did not want to have another sling surgery simply because I want to avoid surgery, period. Any surgery, if I can help it. Surgery is serious business. I went without the pessary for several months and used an estrogen cream twice a week in order to bulk up the vaginal tissue so that inserting and removing a pessary wouldn't be so painful. I had success in that area. While I was without the pessary, two things happened: 1, I had very little leakage because my urethra was kinked due to the prolapsed bladder, and 2, my prolapse got worse. It is very uncomfortable, having that weight always pressing down on my vagina.
I went back to the doc, and we tried a different kind of pessary. It has a bulge in one place on the ring which presses against the urethra so that there isn't a straight shot down and out. Imagine trying to stop the flow of a garden hose with your thumb while the hose is straight versus while it's somewhat kinked. Can't do it when the hose is straight. Apparently there are muscles in the urethra that we can't control, so we can't strengthen them. My pelvic floor is strong; I can stop urine flow with and without the pessary. So this pessary worked great except that it moved around and it didn't want to stay in. So my doc has ordered the next size up and we are waiting for it to come in.
If this doesn't work, there is an injection of a urethral bulking agent that can be done, so that's a possibility.