title: The outcome of Manchester-Fotergill operation for uterine decensus repair: a single center experience.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetric and Gynecology, Yüzüncü yıl Üniversity Hospital, Van, Turkey.
authors.forename: Ismet
authors.initials: I
authors.lastname: Alkış
authors.forename: Erbil
authors.initials: E
authors.lastname: Karaman
authors.forename: Ağahan
authors.initials: A
authors.lastname: Han
authors.forename: Bekir
authors.initials: B
authors.lastname: Gülaç
authors.forename: Hasan Cemal
authors.initials: HC
authors.lastname: Ark
mesh_terms: D000328:Adult; D000368:Aged; D052858:Cystocele / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D020047:Rectocele / Q000601:surgery; D016896:Treatment Outcome; D014421:Turkey; D001745:Urinary Bladder Diseases / Q000601:surgery; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*