A young nulliparous woman has 3rd degree uterovaginal prolapse without any cystocele or rectocele. There is no stress incontinence. Uterocervical length is 3 inches. All other symptoms are normal. The best treatment plan for her will be:

Prolapse in a young nulliparous female is seen in case of congenital prolapse. Risk factors for congenital prolapse: Spina bifida Connective tissue disorders like Marfans syndrome, Ehler Danlos syndrome Cystocele is not seen in congenital prolapse and in congenital prolapse there is infravaginal elongation of cervix (not supravaginal which is usually seen). Management of congenital prolapse is: Abdominal sling surgeries/ cervicopexy Like Purandare sling/ cervicopexy Shirodkar sling Surgeries Virkud Sling Performed through abdominal route                The sling is generally made of mersilene tape