This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !), Subject name: Gynaecology & Obstetrics
[{'content': "A 28 year old female P1, has 2nd degree of utero-vaginal prolapse. The most appropriate management would be: \nSelect and explain. \nA. Fothergill's repair, B. Weheim hysterectomy, C. Perineal exercise x 3 months, D. Vaginal hysterectomy with vault repair", 'role': 'user'}, {'content': "Answer: A \nExplanation: As the age of the pt. is 28 yrs, uterine preservation is a concern. Uterine Preservation surgeries for Prolapse Anterior and posterior pelvic repair Fothergill's repair (Manchester surgery) Shirodkar's procedure Abdominal sling surgeries: Shirodkar, Khanna, Purandre's abdominocervicopexy", 'role': 'assistant'}]