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
Best management of vault prolapse is: 
Select and explain. 
A. Sacral colpopexy, B. Sacrospinous ligament fixation, C. Le forts repair, D. Anterior colporapphy
A: Sacral colpopexy
Answer: A: Sacral colpopexy 
Explanation: Vault Prolapse:

It is a long complication of hysterectomy and refers to prolapse of the vaginal stump left behind after performing hysterectomy.

Management
Patient is fit for abdominal surgery
                   ↓
Trans abdominal sacral colpopexy
(Mesh is attached to the vault and sacral promontory).
It is the gold standard surgery for vault prolapse
Management
In obese, elderly patients, not fit for abdominal surgery
                   ↓
Transvaginal sacrospinous ligament fixation/colpopexy can be done.