A 28-year-old female P3, has IInd degree of utero-vaginal prolapse. The management of choice is:

A 28-year-old female P3, has IInd degree of utero-vaginal prolapse. The management of choice is:

1.Fothergill’s repair
2.Wertheim’s hysterectomy
3.Perinea’ exercises x 3 month
4.Vaginal hysterectomy with vault repair

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Fothergill’s operation(Manchester Repair) is done in women below 40 years, who want to retain their menstrual function.

In both questions 1 and 2 patient are less than 40 years and multiparous so, Fothergill’s repair is the ideal management for them.

Fothergill’s repair causes complications of pregnancy like incompetent os, habitual abortion and cervical dystocia therefore in a multipara who have completed their family we can do tubal ligation to prevent pregnancy.

“If the family is completed, vaginal sterilization is to be done.” — Dutta Gynae 6th /ed p 216

Thus in question 1 answer is fothergill’s repair with tubal ligation.