Medium- to Long-Term Follow-Up Study on Modified Manchester Procedure for Pelvic Organ Prolapse.

Abstract

Introduction and hypothesis: We evaluated the complications and medium- to long-term therapeutic outcomes of the modified Manchester procedure for pelvic organ prolapse.

Methods: The clinical data of 254 patients who underwent the modified Manchester procedure in our hospital from July 2015 to May 2023 were retrospectively analyzed. In addition, the perioperative situation and medium- to long-term follow-up results were analyzed.

Results: No injury to the adjacent organs (such as the bladder and ureter) or complications (including massive hemorrhage or hematoma) were reported in 254 patients during the operation. During the perioperative period, urinary retention, postoperative fever, and urinary tract infections were observed in 19 patients (7.5%), 13 patients (5.1%), and three patients (1.2%), respectively. Follow-up ranged from 1 to 8.8 years, with a median follow-up time of 4.18 (2.46, 6.15) years, and 173 patients (68%) completed telephonic or outpatient follow-up. Among them, 16 patients (9.25%) had subjective recurrence. Of these 16 patients, three (1.7%) had failed surgery, nine (5.2%) had de novo stress urinary incontinence, and two (1.2%) had dysuria. The most serious complications were grade III according to the Clavien-Dindo classification. After the operation, the subjective satisfaction rate of the PGI-I questionnaire was 94.8%.

Conclusions: The modified Manchester procedure for pelvic organ prolapse has a low incidence of severe complications, has satisfactory medium- to long-term therapeutic outcomes, and shows favorable safety and efficacy.