POP with pessary, surgery or not

I have 3+ cystocele with rectocele and have had a pessary for 2 weeks.  I plan to have corrective surgery in a month. It is being delayed for a trip and to give time for estrogen cream to help the vaginal walls.  I am interested in sharing information about the surgical options.  I have hemorrhoids and the rectocele is causing the most problems with irritation and severe itching. If taking the uterus (since I have fibroids) is an option, is it better to do that or not?  Also, I am interested in the mesh controversy and any input about it. I am having leaks with the pessary and I had none even with the rather bad prolapse. I understand that some bladders fall in a way that there is not leakage though I did have the urinate, stand, urinate again issue and sneezing leaks. Guess I was lucky but now that the uretha is "unkinked" with the pessary, the leaks are here.  Also I had to press to get the BM out of the rectocele pocket. It's a little better with the pessary but I still have to press some and the itching even keeps me awake. Should I just go back to living with the prolapse or should I have the surgery and get everything corrected.  My husband of 40 years is being patient with me but no intercourse for a month with the pessary.  Any suggestions or personal experiences are much appreciated.