Modified Purandare's Cervicopexy

Purandare's cervicopexy is an operation performed for nulliparous type of uterine prolapse, in the presence of good abdominal wall muscle tone. In this operation, the uterus is suspended extraperitoneally from the angles of the rectus sheath using a mersilene tape, sutured to the front of the supravaginal cervix after opening the uterovesical fold and displacing the urinary bladder down. The operation remains effective as long as the abdominal wall muscle tone remains good. Once the muscle tone is lost due to any reason, the prolapse recurs. I perform the operation as described above. But I do not cut off the extra length of the mersilene tape after fixing it to the angles of the rectus sheath. I carry it laterally on each side and fix it to the lateral end of the inguinal ligament of the corresponding side. This serves as the second line of support, if the support given by the rectus muscles fails.