Question
Uterus Prolapse in nulliparous women, treatment is‑
| A. |
Sling used involving rectus sheath |
| B. |
Anterior colporrhaphy |
| C. |
Posterior colporrhaphy |
| D. |
Manchester operation |
|
Correct Answer » A Explanation |
 |
– Patient is nulliparous, so preserving fertility is essential.
– Uterus-preserving surgery is preferred.
– Definitive surgeries like hysterectomy are avoided.
A. Sling operation using rectus sheath (e.g., Purandare’s cervicopexy)
– Suspends uterus using rectus sheath/fascia.
– Preserves uterus & reproductive function.
– Ideal for young or nulliparous women.
Other Options:
B. Anterior colporrhaphy
– Repairs cystocele (anterior vaginal wall defect).
C. Posterior colporrhaphy
– Repairs rectocele (posterior vaginal wall defect).
D. Manchester operation
– Involves cervical amputation & ligament plication.
– May impair fertility & cervical competence.
– Not preferred in nulliparous women.