Manchester Procedure Vs. Vaginal Hysterectomy for Uterine Prolapse

Thomas, Albert George; Brodman, Michael; Dottino, Peter R.; Bodian, Carol; Friedman, Frederick; Bogursky, Eileen

doi:10.1097/00006254-199509000-00012

Cited by 17 publications

(26 citation statements)

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“…Therefore, 15 studies were excluded. Twenty-three studies were available in which outcome data for 1,764 women who underwent a vaginal hysterectomy for prolapse symptoms were analyzed separately, with a follow-up of between 9 and 60 months [4,5,6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Study Selectionmentioning

confidence: 99%

“…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%

“…No deaths were reported in the selected studies of this review. Vaginal hysterectomy was compared with the Manchester procedure in two studies in which hysterectomy was associated with a significantly longer operating time and greater morbidity (blood loss, vaginal cuff abscesses) [19,20]. When comparing vaginal hysterectomy (in two studies combined with a prophylactic sacrospinous ligament fixation) with sacrospinous hysteropexy, the associated morbidity (longer operating time and recovery time and more blood loss) of a vaginal hysterectomy was greater as compared to the sacrospinous hysteropexy [4,5,16].…”

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: 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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“…These findings are well in accordance with the literature. 10,11 An important point that should be stressed is that the risk of cervical stenosis after Manchester procedure. This can lead to hematometra or can obscure the alarming symptoms of endometrial carcinoma.…”

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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Uterine preservation during surgery for uterovaginal prolapse: a review

Diwan

Rardin

Kohli

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

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The traditional surgical treatment for uterovaginal prolapse has been vaginal hysterectomy. For many reasons, women may request uterine preservation at the time of prolapse surgery. The purpose of this paper is to review the medical literature pertaining to the role of uterine preservation during reconstructive surgery for uterovaginal prolapse. A MEDLINE search of literature in the English language (1966 to current) was carried out using the keywords 'hysterectomy', 'hysteropexy', 'uterine preservation', 'uterine suspension' and 'uterovaginal prolapse.' Fourteen articles primarily addressing the surgical repair of uterovaginal prolapse with uterine preservation were included in this review. Papers primarily addressing other forms of pelvic organ prolapse, incontinence or obliterative procedures were excluded. Existing procedures and their clinical outcomes were reviewed. The current literature suggests that uterine preservation during surgery for uterovaginal prolapse may be an option in appropriately selected women who desire it; prospective, randomized trials are needed to corroborate this.

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Manchester Procedure Vs. Vaginal Hysterectomy for Uterine Prolapse

Cited by 17 publications

References 0 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?

Uterine preservation during surgery for uterovaginal prolapse: a review

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