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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Shirodkar’s Extended Manchester Repair: A Conservative Vaginal Surgery for Genital Prolapse in Young Women and Reinforcement of Weak Uterosacral Ligaments with Merselene Tape: Retrospective and Prospective Study

¹Assistant Professor, Department of OBGY, Indian Institute of Medical Science and Research, Warudi, Badnapur, Jalna Maharashtra INDIA.

The aim of this study was to evaluate the results of Shirodkar Extended Manchester Repair operation for uterine prolapse in young women interested in retaining future childbearing and menstrual function. Materials and Methods: 30 patients with II or III degree utero-vaginal prolapse with or without cystoenterorectocoele and with normal uterocervical length (i.e. no cervical elongation) in child-bearing age group (i.e. less than 35 years) interested in preserving future fertility or menstrual function were operated and followed-up. In patients with weak uterosacral ligament, reinforcement with merselene tape was done. Results: In this study, 79% of the patients were below the age of 30 years. About 33.33% of the patients were interested in retaining child-bearing and menstrual functions, while 66.66% of the cases were interested in retaining only menstrual function. 28 patients could be followed-up. The anatomical results were good. There was no recurrence of prolapse after pregnancy or labour. The operation did not interfere with normal vaginal delivery. Conclusion: Shirodkar’s Extended Manchester Repair has a definite place in the treatment of genital prolapse especially during the reproductive age, where child-bearing function has to be preserved.