60 year woman comes with 3rd degree
uterine prolapse. What will be the
management?
a) Vaginal hysterectomy with pelvic floor repair
b) Pelvic floor repair
c) Sacrospinous fixation
d) Pessary
Correct Answer - A
Ans. A. Vaginal hysterectomy with pelvic floor repair
Uterine prolapse surgery is performed to remove the uterus and
repair the weak tissue. Uterine prolapse frequently occurs in
postmenopausal women who’ve had one or more vaginal deliveries.
Sagging of the pelvic muscles which leads to uterine prolapse
can occur:
If supportive tissues are damaged during pregnancy and delivery
Due to estrogen loss
As a result of straining repeatedly over the years (chronic cough,
constipation etc.)
Due to gravitational effects
Depending on factors like age of the woman, desire for becoming
pregnant and the overall state of a woman’s health, the treatment
plan is decided.
Here the woman is of old age (non gestational) and have 3rd degree
of prolapse. So best management of choice will be Vaginal
hysterectomy with pelvic floor repair.