**Core Concept**
Sacrospinous fixation is a surgical procedure used in gynecology to correct pelvic organ prolapse. It involves attaching the vaginal wall to the sacrospinous ligament, a strong ligament in the pelvis, to provide support and prevent further prolapse.
**Why the Correct Answer is Right**
The procedure is specifically designed to address apical prolapse, where the cervix or vaginal vault has descended into the vaginal canal. The sacrospinous ligament serves as a secure anchor point for the vaginal wall, thereby providing the necessary support to counteract the forces causing prolapse. This is achieved through the use of sutures that are placed in the ligament and attached to the vaginal wall.
**Why Each Wrong Option is Incorrect**
**Option A:** Sacrospinous fixation is not primarily used for strengthening the urethral sphincter or treating stress urinary incontinence.
**Option B:** While the procedure does involve the pelvic floor, it is not specifically designed for strengthening the levator ani muscles.
**Option C:** Sacrospinous fixation is not a type of colposuspension, which is a different surgical technique used to treat prolapse.
**Clinical Pearl / High-Yield Fact**
It's essential to note that sacrospinous fixation can lead to complications such as nerve injury, infection, and vaginal shortening, making it crucial to carefully weigh the benefits against the risks before proceeding with the procedure.
**Correct Answer: C**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.