RT Journal Article
T1 The Manchester Procedure as a Uterine-Preserving Alternative for Uterine Prolapse Due to Cervical Elongation: A Short- and Mid-Term Clinical Analysis
A1 Liger-Guerra-Claudia, 
A1 Sabonet-Morente-Lorena, 
A1 Hidalgo-Fernandez-Juan Manuel, 
A1 Navarro-Romero-Manuel, 
A1 Espada-Gonzalez-Cristina, 
A1 Jimenez-Lopez-Jesus S., 
K1 Útero - Prolapso
AB Pelvic organ prolapse (POP) is a prevalent condition that negativelyimpacts women’s quality of life. Uterine-preserving procedures are increasinglydemanded by patients with uterine prolapse, particularly when associated with true cervicalelongation. The Manchester procedure, historically used for uterine preservation, hasregained interest due to its effectiveness and low morbidity. This study aims to evaluate theanatomical and functional outcomes of the Manchester procedure in women with uterineprolapse due to cervical elongation, assessing patient satisfaction and associated clinicalfactors. Materials and Methods: We conducted a retrospective, observational, single-centerstudy at the Regional University Hospital of Málaga, Spain, including patients undergoingthe Manchester procedure between January 2017 and December 2022. Inclusion criteriarequired a diagnosis of uterine prolapse due to clinically confirmed true cervical elongation.Surgical details, complications, and postoperative outcomes were recorded. Patient satisfactionwas assessed using a Likert scale during follow-up visits. Results: A total of 38 patientswere included, with a mean age of 48.7 years. All presented with symptomatic uterineprolapse and elongated cervix (>5 cm). The anatomical success rate was 97%, with only onecase of symptomatic recurrence. The most common early postoperative complication wasurinary tract infection (10.5%). The average follow-up duration was 18.6 months. A highlevel of satisfaction was recorded: 94.8% of patients were either “very satisfied” (73.7%)or “satisfied” (21.1%), and only 5.3% reported dissatisfaction. Multicompartmental repair(anterior and/or posterior colporrhaphy) improved satisfaction outcomes. Conclusions: TheManchester procedure is a safe, effective uterine-sparing surgical option for patients withcervical elongation-related uterine prolapse. It demonstrates a high anatomical successrate and low morbidity, with excellent patient satisfaction. Comprehensive preoperativeassessment and addressing modifiable risk factors such as obesity and smoking are key tooptimizing results. Further prospective studies are needed to assess long-term durabilityand quality-of-life outcomes.
PB MDPI
SN 1648-9144
YR 2025
FD 2025-06-29
LK https://hdl.handle.net/10630/44720
UL https://hdl.handle.net/10630/44720
LA eng
NO Liger Guerra C, Sabonet Morente L, Hidalgo Fernandez JM, Navarro Romero M, Gonzalez CE, Jimenez-Lopez JS. The Manchester Procedure as a Uterine-Preserving Alternative for Uterine Prolapse Due to Cervical Elongation: A Short- and Mid-Term Clinical Analysis. Medicina. 2025; 61(7):1183. https://doi.org/10.3390/medicina61071183
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 27 feb 2026