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 syndromeCystocele 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 LikePurandare sling/ cervicopexy Shirodkar sling Surgeries Virkud Sling Performed through abdominal route                The sling is generally made of mersilene tape