Manchester- Fothergill Procedure for Treatment of Utero-Vaginal Prolapse in Young Women: A Case Series Report of 5 Women.

Abstract

Background: There is scarcity of local data in current literature concerning Manchester procedure for the repair of Utero Vaginal Prolapse (UVP). Materials and Method: We report our experiences of patients who had fertility sparing procedures (Manchester operation) for second and third degree UVP between 2010 and 2018 at the Benue State University Teaching Hospital Makurdi, Holy Family Hospital Ikom, Cross River State and Janik Specialist Hospital, Hwolshe, Jos, all in Nigeria. Results: The average age of the patients was 27.6 years. Three women were nulliparous and 2 were primiparous, and all the five women wanted to preserve their fertility. The duration of the surgery was 110 ±20 minutes and the average hospital stay was 4±1 days. There were no intra-operative or post-operative complications observed in the series. All the women were satisfied with the procedure and their sexual life was improved. Two women became pregnant and both were delivered through caesarean section at term. All the women had good anatomical results and there were no symptoms of prolapse recurrence. Conclusion: With these results, Manchester operation is certainly worth considering for the treatment of UVP especially in women who wish to preserve their reproductive career.