The Manchester operation for uterine prolapse

Ayhan, Ayşe; Esin, Sertaç; Güven, Süleyman; Salman, Coskun; Özyüncü, Özgür

doi:10.1016/j.ijgo.2005.12.002

Cited by 37 publications

(28 citation statements)

References 12 publications

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“…After assessment of these reports including reference lists of eligible studies, four studies and two case reports were found with data on 573 women [18][19][20][34][35][36]. All studies were retrospective.…”

Section: Study Selectionmentioning

confidence: 99%

“…In all other women, the buttock pain resolved within 6 weeks without any intervention. One study reports that the Manchester procedure was associated with hematometra due to cervical stenosis with the need for cervical dilatations in up to 11% of patients [34]. In one woman, after four dilatations of the cervix, an abdominal hysterectomy was performed.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…An illustration that [4,5,7,17,21,27,28,30,32,33] c References [18][19][20]34] d References [37][38][39][40][41][42][43][44][45][46][47] symptoms are not always associated with anatomical outcome is the recent study on the sacrospinous hysteropexy by Dietz et al in which women with and without a cystocele stage 2 or more described the same amount of bother on urogynecological symptoms [33]. For measuring these functional outcomes the use of validated disease-specific symptom and quality of life questionnaires is highly recommended [58].…”

Section: Anatomical Curementioning

confidence: 99%

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Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

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Several vaginal procedures are available for treating uterine descent. Vaginal hysterectomy is usually the surgeon's first choice. In this literature review, complications, anatomical and symptomatic outcomes, and quality of life after vaginal hysterectomy, sacrospinous hysteropexy, the Manchester procedure, and posterior intravaginal slingplasty are described. All procedures had low complication rates, except posterior intravaginal slingplasty, with a tape erosion rate of 0-21%. Minimal anatomical success rates regarding apical support ranged from 85% and 93% in favor of the Manchester procedure. Data on symptomatic cure and quality of life are scarce. In studies comparing vaginal hysterectomy with sacrospinous hysteropexy or the Manchester procedure, vaginal hysterectomy had higher morbidity. Because no randomized, controlled trials have been performed comparing these surgical techniques, we can not conclude that one of the procedures prevails. However, one can conclude from the literature that vaginal hysterectomy is not the logical first choice.

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Section: Study Selectionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Anatomical Curementioning

confidence: 99%

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Vaginal surgery for uterine descent; which options do we have? A review of the literature

2008

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“…14 The current literature also documents that the apical support after the Manchester procedure is excellent and the necessity of recurrent surgery for apical prolapse is inconsiderable. 11,12 It is a well known fact that the uterus has a passive role in the uterine prolapse. Therefore, if hysterectomy is being performed this can disrupt the local nerve supply as well as fascial plane and will effect the anatomical relationships of the pelvic organs, however, a literature review concluded that a vaginal hysterectomy is unlikely to cause bowel or bladder dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Which One is the Appropriate Approach for Uterine Prolapse: Manchester Procedure or Vaginal Hysterectomy?

Ünlübilgin¹,

Sivaslıoğlu²,

İlhan³

et al. 2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To compare the 5-year results of the efficacy of vaginal hysterectomy against Manchester procedure for uterine prolapse. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study was carried on women with the complaints of uterine prolapse. The patients were randomized into 2 groups using a computer program, and underwent either Manchester procedure (Group 1) or vaginal hysterectomy (Group 2). Both groups were compared in terms of durations of the operations, the length of hospital stay, quality of life (QoL) scores and the recurrences (C point and total vaginal length) at 5 years after operations. R Re es su ul lt ts s: : Manchester procedure was performed on 49 patients. Vaginal hysterectomy was performed on 45 patients. The mean duration of operation and the length of hospitalization for group 1 and group 2 were 62.4±10.5 minutes and 2.58±0,56 days, and 77.8±13.6 minutes and 2.88±0.63 days, respectively. There were statistically significant differences between groups in terms of the durations of operations (p=0.003) and the length of stay in hospital after the interventions (p=0.042). The postoperative mean of the C point level in group 1 and group 2 were -6.3±0.91 cm and -6±0.97 cm, respectively. There was no statistically significant difference between the groups (p=0.132). The postoperative mean of total vaginal length in groups 1 and 2 were 8,3±0.95 cm and 6.02±0.98 cm, respectively. There was a statistically significant difference between the groups (p=0.016). Postoperative QoL scores improved significantly after both procedures. C Co on nc cl lu us si io on n: : The Manchester procedure is an efficient alternative of vaginal hysterectomy for the treatment of uterine prolapse K Ke ey y W Wo or rd ds s: : Uterine prolapse; hysterectomy, vaginal Ö ÖZ ZE ET T A Am ma aç ç: : Uterin prolapsusun cerrahi tedavisinde vajinal histerektomi ile Manchester operasyonunun etkinliğini karşılaştırmak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Uterin prolapsus şikayeti ile başvuran olgular çalışmaya dahil edildi. Çalışma grubu bilgisayar programına göre randomize edilerek 2 gruba ayrıldı. Manchester prosedürü uygulanan olgular Grup 1'i, vajinal histerektomi uygulanan olgular ise Grup 2'yi oluşturdu. Her iki grup, operasyon süreleri, hospitalizasyon süreleri, yaşam kalite skorları ve operasyondan 5 yıl sonraki rekürrensleri (C noktası ve total vajinal uzunluk) açısından karşılaştırıldı. B Bu ul lg gu ul la ar r: : Manchester prosedürü 49 hastaya uygulandı. Vajinal histerektomi 45 hastaya uygulandı. Grup 1'in ortalama operasyon süresi 62,4±10,5 dakika, hospitalizasyon süresi 2,58±0,56 gün iken, grup 2'de ortalama operasyon süresi 77,8±13,6 dakika, hospitalizasyon süresi 2,88±0,63 gün olarak bulundu. İki grup arasında operasyon (p=0,003) ve hospitalizasyon sü-releri (p=0,042) açısından istatistiksel olarak anlamlı fark tespit edildi. Grup 1 ve grup 2'nin postoperatif ortalama C noktaları -6,3±0,91 cm ve -6,0±0,97 cm olarak ölçüldü. Ancak iki g...

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“…Furthermore, patientfocused medicine considers some women's wishes to preserve their uterus as a way of maintaining self-esteem, preserving relevant fertility and preventing sexual impairment [12,19].…”

Section: Introductionmentioning

confidence: 99%

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

Liebergall-Wischnitzer

Ben‐Meir

Sarid

et al. 2011

Arch Gynecol Obstet

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The Manchester operation for uterine prolapse

Abstract: A high degree of acceptance/satisfaction and a low morbidity rate show the Manchester operation to be a good option for the treatment of uterine prolapse in women who wish to keep their uterus.

Cited by 37 publications

References 12 publications

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Which One is the Appropriate Approach for Uterine Prolapse: Manchester Procedure or Vaginal Hysterectomy?

Women’s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

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