Benign gynaecology: colporrhaphy: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Benign gynaecology: colporrhaphy

Sample item

Which operation is the standard repair for a symptomatic cystocele with a central defect in the anterior vaginal wall?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Anterior colporrhaphy

Anterior colporrhaphy plicates the pubocervical fascia to support the bladder and corrects a cystocele, while posterior colporrhaphy repairs a rectocele and perineorrhaphy rebuilds the perineal body. Apical prolapse needs vaginal vault suspension or hysterectomy with suspension. Recurrence rates are significant, so mesh or alternative techniques are discussed in some cases.

Option by option

  • A. Posterior colporrhaphy

    Posterior colporrhaphy treats a rectocele.

  • B. Manchester repair

    The Manchester repair addresses uterine descent and cervical elongation.

  • C. Anterior colporrhaphy (correct)

    Correct. Anterior colporrhaphy repairs the anterior vaginal wall defect.

  • D. Sacrospinous fixation

    Sacrospinous fixation treats vault or uterine apical prolapse.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Anterior colporrhaphy. Anterior colporrhaphy plicates the pubocervical fascia to support the bladder and corrects a cystocele, while posterior colporrhaphy repairs a rectocele and perineorrhaphy rebuilds the perineal body.

Why is "Posterior colporrhaphy" not the answer?

Posterior colporrhaphy treats a rectocele.

Why is "Manchester repair" not the answer?

The Manchester repair addresses uterine descent and cervical elongation.

Why is "Sacrospinous fixation" not the answer?

Sacrospinous fixation treats vault or uterine apical prolapse.

What concept does this question test?

It tests Benign gynaecology: colporrhaphy in OBG. Apical prolapse needs vaginal vault suspension or hysterectomy with suspension. Recurrence rates are significant, so mesh or alternative techniques are discussed in some cases.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Benign gynaecology: colporrhaphy?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.