Department of Obstetric and Gynecology, Yüzüncü yıl Üniversity Hospital, Van, Turkey.
Arch Gynecol Obstet. 2014 Aug;290(2):309-14. doi: 10.1007/s00404-014-3200-1. Epub 2014 Mar 18.
The aim of this study was to evaluate the clinical characteristics, peri- and post-operative outcomes, and clinical effectiveness of the Manchester-Fothergill (MF) procedure for uterine descensus as a uterine-sparing surgery.
In this study, 49 patients underwent the MF procedure as a uterine-sparing surgery for uterine descensus during 2008-2012 in the Department of Urogynecology at Kanuni Sultan Süleyman Research and Teaching Hospital, Istanbul, Turkey.
Medical records and follow-up data were collected from 24 of the 49 patients (48.9 %). The mean age was 49.3 ± 9.1 years, and parity 3.6 ± 1.5; 41.6 % were post-menopausal; 6 patients (25 %) had grade II, and 18 (75 %) had grade III uterine prolapse; 95.8 % had associated cystoceles, and 79.1 % had associated rectoceles; 66.6 % complained of urinary incontinence. On follow-up examination, the cervical stumps were satisfactorily situated in 23 of 24 patients, and recurrent prolapse was seen in 1 patient (4.1 %). Bladder perforation was repaired at the time of the operation in 1 patient, and one complained of post-operative urinary retention.
The MF procedure is a viable option to surgically correct uterine descent while preserving the uterus to treat recurrent prolapse with a low complication rate and low morbidity.
本研究旨在评估 Manchester-Fothergill（MF）手术作为一种保留子宫的手术治疗子宫脱垂的临床特点、围手术期和术后结果以及临床疗效。
在这项研究中，2008 年至 2012 年期间，土耳其伊斯坦布尔 Kanuni Sultan Süleyman 研究与教学医院的妇科泌尿学系对 49 例子宫脱垂患者实施了 MF 手术作为保留子宫的手术。
从 49 例患者中（48.9%）收集了 24 例的病历和随访数据。平均年龄为 49.3±9.1 岁，孕次 3.6±1.5；41.6%处于绝经后状态；6 例（25%）为 II 度，18 例（75%）为 III 度子宫脱垂；95.8%有合并膀胱膨出，79.1%有合并直肠膨出；66.6%有尿失禁症状。随访检查时，24 例患者中有 23 例宫颈残端位置满意，1 例（4.1%）患者出现复发性脱垂。1 例患者在手术时修复了膀胱穿孔，1 例患者诉术后尿潴留。
MF 手术是一种可行的选择，可以在保留子宫的同时治疗复发性脱垂，其并发症发生率低，发病率低。
