A 28 year old female P1, has 2nd degree of utero-vaginal prolapse. The most appropriate management would be:: (A) Fothergill's repair, (B) Weheim hysterectomy, (C) Perineal exercise x 3 months, (D) Vaginal hysterectomy with vault repair
Answer is A. 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