Manchester operation

Manchester operation is a surgical procedure used in the treatment of uterine prolapse, a condition where the uterus descends towards or into the vagina. This operation involves the shortening of the uterine ligaments and the removal of a portion of the cervix, the lower part of the uterus.

Procedure

The Manchester operation is performed under general anesthesia. The surgeon makes an incision in the vagina to access the cervix. The uterosacral ligaments, which support the uterus, are shortened and stitched together to lift the uterus. A portion of the cervix is then removed, and the remaining part is stitched back together. This procedure helps to restore the normal position of the uterus.

Indications

The Manchester operation is indicated for women with uterine prolapse who wish to preserve their fertility, as the uterus is not removed during this procedure. It may also be recommended for women who are not suitable candidates for hysterectomy, the surgical removal of the uterus.

Risks and Complications

As with any surgical procedure, the Manchester operation carries risks, including infection, bleeding, and damage to nearby organs. There is also a risk of recurrence of prolapse. Some women may experience changes in sexual function or difficulty becoming pregnant after the procedure.

Alternatives

Alternatives to the Manchester operation include non-surgical treatments such as pelvic floor exercises and pessary use, as well as surgical treatments such as hysterectomy and sacrospinous fixation.

See Also

• Uterine prolapse
• Hysterectomy
• Sacrospinous fixation