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Archives of Gynecology and Obstetrics

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01-08-2014 | General Gynecology

The outcome of Manchester–Fotergill operation for uterine decensus repair: a single center experience

Authors: İsmet alkış, Erbil Karaman, Ağahan Han, Bekir Gülaç, Hasan Cemal Ark

Published in: Archives of Gynecology and Obstetrics | Issue 2/2014

Abstract

Purpose

The aim of this study was to evaluate the clinical characteristics, peri- and post-operative outcomes, and clinical effectiveness of the Manchester–Fothergill (MF) procedure for uterine descensus as a uterine-sparing surgery.

Methods

In this study, 49 patients underwent the MF procedure as a uterine-sparing surgery for uterine descensus during 2008–2012 in the Department of Urogynecology at Kanuni Sultan Süleyman Research and Teaching Hospital, Istanbul, Turkey.

Results

Medical records and follow-up data were collected from 24 of the 49 patients (48.9 %). The mean age was 49.3 ± 9.1 years, and parity 3.6 ± 1.5; 41.6 % were post-menopausal; 6 patients (25 %) had grade II, and 18 (75 %) had grade III uterine prolapse; 95.8 % had associated cystoceles, and 79.1 % had associated rectoceles; 66.6 % complained of urinary incontinence. On follow-up examination, the cervical stumps were satisfactorily situated in 23 of 24 patients, and recurrent prolapse was seen in 1 patient (4.1 %). Bladder perforation was repaired at the time of the operation in 1 patient, and one complained of post-operative urinary retention.

Conclusion

The MF procedure is a viable option to surgically correct uterine descent while preserving the uterus to treat recurrent prolapse with a low complication rate and low morbidity.

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Title: The outcome of Manchester–Fotergill operation for uterine decensus repair: a single center experience
Authors: İsmet alkış
Erbil Karaman
Ağahan Han
Bekir Gülaç
Hasan Cemal Ark
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 2/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-014-3200-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The outcome of Manchester–Fotergill operation for uterine decensus repair: a single center experience

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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