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