This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Best management of vault prolapse is: \nSelect and explain. \nA. Sacral colpopexy, B. Sacrospinous ligament fixation, C. Le forts repair, D. Anterior colporapphy', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Vault Prolapse:\n\nIt is a long complication of hysterectomy and refers to prolapse of the vaginal stump left behind after performing hysterectomy.\n\nManagement\nPatient is fit for abdominal surgery\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0↓\nTrans abdominal sacral colpopexy\n(Mesh is attached to the vault and sacral promontory).\nIt is the gold standard surgery for vault prolapse\nManagement\nIn obese, elderly patients, not fit for abdominal surgery\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0↓\nTransvaginal sacrospinous ligament fixation/colpopexy can be done.', 'role': 'assistant'}]