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Comparative Study
. 2011 Sep;22(9):1171-8.
doi: 10.1007/s00192-011-1422-3. Epub 2011 Apr 12.

A comparison of long-term outcome between Manchester Fothergill and vaginal hysterectomy as treatment for uterine descent

Susanne D Thys  1 , Anne- Lotte Coolen, Ingrid R Martens, Herman P Oosterbaan, Jan- Paul W R Roovers, Ben- Willem Mol, Marlies Y Bongers
Affiliations
Comparative Study

A comparison of long-term outcome between Manchester Fothergill and vaginal hysterectomy as treatment for uterine descent

Susanne D Thys et al. Int Urogynecol J. 2011 Sep.

Abstract

Introduction and hypothesis: The objective of this study was to compare the Manchester Fothergill (MF) procedure with vaginal hysterectomy (VH) as surgical treatment of uterine descent.

Methods: Consecutive patients who underwent MF were matched for prolapse grade, age and parity to consecutive patients treated with VH. Evaluated outcomes included functional outcome, morbidity, recurrence of pelvic organ prolapse (POP) and sexual function. Follow-up was performed using validated questionnaires.

Results: We included 196 patients (98 patients per group). The response rate after a follow-up of 4-9 years was 80%. We found no differences in functional outcome and recurrence rates of POP between groups. Blood loss was significantly less and operating time was significantly shorter in the MF group. However, incomplete emptying of the bladder was more common in the MF group.

Conclusions: The MF procedure is equally effective to the VH and should be considered as a surgical option that allows preservation of the uterus.

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References

    1. Int Urogynecol J Pelvic Floor Dysfunct. 2003 Nov;14(5):350-5; discussion 355 - PubMed
    1. Neurourol Urodyn. 2003;22(2):97-104 - PubMed
    1. Int Urogynecol J. 2010 Feb;21(2):209-16 - PubMed
    1. Int J Gynaecol Obstet. 2006 Mar;92(3):228-33 - PubMed
    1. Neurourol Urodyn. 2009;28(3):225-8 - PubMed

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