Pelvic organ prolapse is generally found in peri and postmenopausal women. Obstetric trauma and multiparity are found in the etiopathogenesis of prolapse, as a result either of a direct perineal lesion or of an indirect lesion by stretching the sacral plexus. The abdominal hyper pressures of asthmatics and family history are also described as risk factors for the occurrence of urogenital prolapse. 7,8 But in young women it is a rare phenomenon with a clinical background and postulation as given by Jackson in 1996. Mechanical stability of urogenital tract depends on intact collagen fibres. Newly formed ABSTRACT Background: Pelvic organ prolapse (POP) is the descent of the pelvic organs beyond their anatomical confines. The definitive treatment of symptomatic prolapse is surgery but its management in young is unique due to various considerations. Aim of this study was to evaluate anatomical and functional outcome after abdominal sacrohysteropexy and vaginal hysterectomy for pelvic organ prolapse in young women. Methods: A total 27 women less than 35 years of age with pelvic organ prolapse underwent either abdominal sacrohysteropexy or vaginal hysterectomy with repair. In all women, pre-op and post-op POP-Q was done for evaluation of anatomical defect and a validated questionnaire was given for subjective outcome. Results: Anatomical outcome was significant in both groups as per POP-Q grading but the symptomatic outcome was better for sacrohysteropexy with regard to surgical time, bleeding, ovarian conservation, urinary symptoms, sexual function. Conclusions: Sacrohysteropexy is a better option.

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