consultation with gyn abnormal US

Body: 

I have a appt today at 1130. Gyn ordered an US two weeks ago and wants to discuss it with me.....had my pap, etc and he said everything looked ok, but I asked him what the bulge was and he said I had a cystocele, well there is one in the posterior aspect also, so probably a rectocele.....I am an RN, so I know what is going on with the body, but I was thinking of a pessary.....new to this forum and looking for some suggestions before the appt....I am 51 went through menopause 42-47 and since have noticed some changes.....one was the vaginal dryness and itching been using the Estring since October and have since noticed the prolapse.....anyone know if this could cause this problem....I have had some leakage of urine for quite a while so I am just guessing it goes along with the territory.....I also had a Sigmoidcolectomy in Nov 2004 for diverticulitis, so that is another thing not in my favor....but I can still do the Kegels.......leaving the house in about an hour or so.....would love any quick suggestions.....by the way the US said I have a fibroid uterus, could this be the problem? This is my second week of vacation and I am just having so much fun.....LOL