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
Vaginal and urinary prolapse occur in all condition EXCEPT: March 2013 
Select and explain. 
A. Rapid succession of pregnancies, B. Pudendal nerve injury, C. Prolonged bearing down effos, D. Recurrent aboion
D: Recurrent aboion
Answer: D: Recurrent aboion 
Explanation: Ans. D i.e. Recurrent aboion Prolapse Cystocoele is: Prolapse of upper 2/ 3'd of anterior vaginal wall Complications: Decubitus ulcers (due to venous congestion) etc. Management of prolapsed in women < 40 years with complete family; wanting to retain menstrual function: Fothergill's repair Management in young women: - Sling operation, - Perineal exercises Management in 2nd trimester: Spontaneous resolution Management in 1" trimester: Pessary