A 28 year old female P1, has 2nd degree of utero-vaginal prolapse. The most appropriate management would be:
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
Fothergill's repair
Weheim hysterectomy
Perineal exercise x 3 months
Vaginal hysterectomy with vault repair
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)