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

Ans. is a, i.e. Fothergill's repairRef: Shaw 15th/ed, p339; Jeffcoate 7th/ed, p289Fothergill's operation (Manchester Repair) is done in women below 40 years, who want to retain their menstrual function.In both questions 1 and 2 patients 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." - Ref: Dutta Gynae 6th/ed, p216Thus the answer is Fothergill's repair with tubal ligation