An 80-year-old woman presents for evaluation of a “bulge on…

An 80-year-old woman presents for evaluation of a “bulge on her bottom” she noted after gardening over the weekend.  She has no discomfort and no difficulty with bowel or bladder elimination.  On examination, you note her cervix extends 1 cm beyond the vestibule (vaginal opening) with straining.   There are no lesions or excoriations noted.  Of the following, what is the best INITIAL treatment option for this patient?