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Pathology Misc. 1da4b072

A 25-year old nulliparous woman presents with third degree uterine descent but no cystocele or rectocele. She is best treated with

A
Abdominal sling operation
B
Lefort's operation
C
Fothergill's repair
D
Amputation of the cervix and reconstruction
High-Yield Explanation
(A) Abdominal sling operation # Operation preserves menstrual and child bearing functions.> However, fertility is somewhat reduced because of the amputation of the cervix causing loss of cervical mucus.> It is suitable for women under 40 years who are desirous of retaining their menstrual and reproductive function> Shirodkar's abdominal sling for uterine prolapse. This operation was designed to meet the special needs of the case of a nulliparous prolapse having inherently weak supports.> Abdominal sling operation (uteropexy) have been designed for young women suffering from II or El UV prolapse and who are desirous of retaining their childbearing / menstrual function.

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