E-Posters-10023

10023_Peh

Pdf Summary

The Manchester procedure is a uterine-sparing surgery for uterovaginal prolapse, which involves amputation of the cervix, pelvic floor repair, and fixation of the cervical stump to the cardinal ligaments. This study aimed to evaluate the outcomes and efficacy of the Manchester procedure in 55 women over a five-year period. <br /><br />The average age of the patients was 41.3 years, and the majority were sexually active and had at least one child. The average duration of the surgery was 46 minutes, with minimal blood loss and no intraoperative complications. Five patients experienced excessive bleeding within two weeks of the procedure, which was managed conservatively. Four patients had postoperative voiding dysfunction but recovered within two weeks.<br /><br />Out of the 39 patients who completed the five-year follow-up, none had a recurrence of prolapse, and only two reported occasional stress urinary incontinence. There were no other significant symptoms or complications reported during the follow-up period.<br /><br />Overall, the Manchester procedure had low complication rates and proved to be effective in preserving the uterus and treating uterovaginal prolapse. This procedure can be considered as an option for women who wish to conserve their uterus for various reasons.<br /><br />It is important to note that this study was retrospective and had a limited sample size. Further research with larger sample sizes and longer follow-up periods would be beneficial to confirm these findings. References 1. Diwan A, Rardin CR & Kohli N. Uterine preservation during surgery for uterovaginal prolapse: a review. Int Urogynecol J 2004;15:286-92. 2. Ayhan A, Esin S, Guven S, Salman C, Ozyuncu O. The Manchester operation for uterine prolapse. Int J Gynaecol Obstet. 2006;92(3):228-33. 3. Liebergall-Wischnitzer M, Ben-Meir A, Sarid O, Cwikel J, Lavy Y. Women's well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study. Arch Gynecol Obstet. 2012;285(6):1587-92.

Keywords

Manchester procedure

uterine-sparing surgery

uterovaginal prolapse

cervix amputation

pelvic floor repair

fixation of cervical stump

surgery outcomes

surgery efficacy

postoperative complications

uterine preservation