Manchester - Fothergill procedure for treatment of recurrence procidentia in young nulliparous woman: A case report

ABSTRACT

Procidentia is uncommon condition altering quality of life ofyoung and nulliparous women. Its management posessignificant dilemma and challenges as its associated bodyimage, fertility and sexuality issues. Uterine preservationsurgery described by Archibald Donald in 1888 known asManchester –Fothergill procedure seems best option asalternative to vaginal hysterectomy. Despite its increasingpopularity among surgeons and patients, robust clinicalevidence is needed. We report a case of recurrentprocidentia in a young nulliparous woman who hadManchester repair following vaginal sacrospinoushysteropexy. We concluded that Manchester repair is auseful and safe alternative for uterine-preserving technique.