Women%26apos;s well-being after Manchester procedure for pelvic reconstruction with uterine preservation: a follow-up study

作者：Liebergall Wischnitzer Michal^*; Ben Meir Assaf; Sarid Orly; Cwikel Julie; Lavy Yuval

来源：Archives of Gynecology and Obstetrics, 2012, 285(6): 1587-1592.

DOI：10.1007/s00404-011-2195-0

• Cervical elongation
• Manchester procedure
• Quality of life
• Sexual function

This study describes the outcomes of a modified Manchester procedure on the quality of life and sexual functioning of women with elongation of the uterine cervix with or without pelvic organ prolapse (POP). %26lt;br%26gt;Data on medical and demographic variables were collected from medical files and then women were invited to for follow-up examination and data collection. %26lt;br%26gt;Follow-up data were collected from 53 out of 87 women who underwent reconstructive surgery with modified Manchester procedure (60.9% of the women). Prior the surgery, all women in this sample ( = 53) were medically examined and found to have uterine cervix elongation, 40/53 (75.4%) women also had cystocele, 10/53 women (18.8%) had uterine prolapse and 8/53 women (15.1%) had rectocele (all stages II-IV). On follow-up examination, all the cervical stumps were satisfactorily situated, recurrent cystocele was found among 12/53 women (22.6%) women; 13/53 (24.5%) had rectocele; and none of these women had uterine prolapse. Women with POP (cystocele and rectocele) (24/53) had less operative satisfaction ( = 0.004), lower quality of life (%26lt; 0.05 in 3 out of 8 domains), and poorer sexual = 0.03) compared to women without POP (29/53). %26lt;br%26gt;The modified Manchester procedure including reconstructive surgery for women with cervix elongation, with or without POP, prevented recurrent uterine prolapse and was well received in terms of patient%26apos;s satisfaction, quality of life, and sexual function.

• 出版日期2012-6