A 72-year-old woman with multiple comorbidities and stage III uterovaginal prolapse is not sexually active. Which surgical management is most appropriate?
- A Sacrocolpopexy
- B Le Fort's colpocleisis ✓
- C Manchester repair
- D Laparoscopic sacrohysteropexy
Correct answer: B. Le Fort's colpocleisis
Explanation
Le Fort's colpocleisis is the procedure of choice for elderly, frail, postmenopausal women with prolapse who are not sexually active. It has minimal anaesthetic risk, short operating time, and does not require vaginal intercourse capacity. Sacrocolpopexy and sacrohysteropexy require general anaesthesia with longer operative times. Manchester repair requires fitness for surgery and cervical assessment.
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.