A 78-year-old woman with significant cardiac comorbidity presents with complete uterovaginal prolapse. She is no longer sexually active and is not a candidate for major surgery. Which procedure is most appropriate?
- A Le Fort's colpocleisis ✓
- B Sacrospinous colpopexy
- C Manchester operation
- D Abdominal sacrocolpopexy
Correct answer: A. Le Fort's colpocleisis
Explanation
Le Fort's colpocleisis is a partial closure of the vaginal canal indicated for elderly, medically unfit women with prolapse who are not sexually active. It is quick, safe under local or regional anesthesia, and effective. Sacrospinous colpopexy and sacrocolpopexy are major procedures requiring fitness for anesthesia. Manchester operation preserves the uterus and is not indicated here.
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.