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Medicina
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Outcomes After Surgical Treatment of Pelvic Organ Prolapse
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Outcomes After Surgical Treatment of Pelvic Organ Prolapse

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: 30 August 2025 | Viewed by 482

Special Issue Editors

Dr. Justina Kačerauskienė

E-Mail Website
Guest Editor Assistant
Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania
Interests: pelvic organ prolapse; pelvic floor dysfunction; pelvic floor reconstructive surgery
Prof. Dr. Roger Roman Dmochowski

E-Mail Website
Guest Editor
Department of Urology, Surgery, and Obstetrics and Gynecology, Vanderbilt Medical Center, Nashville, TN, USA
Interests: female pelvic medicine; genitourinary reconstructive surgery; neurogenic bladder; pelvic floor reconstrucive surgery; urinary incontinence

Special Issue Information

Dear Colleagues,

Pelvic organ prolapse (POP) is a condition when one or several pelvic organs descend from their typical position. POP is more common among older patients than young. However, more and more young patients presently seek help for this pathology as it has a negative impact on quality of life. Genetics, sedentary lifestyle, obesity and other factors might play a role in this. Although the management of POP might be either conservative or surgical, operations look more attractive to young patients. Especially for those who want a fast result with the smallest efforts. This leads to a situation where operations for POP are performed earlier in life than it used to be.

According to various studies, the recurrence of prolapse after the surgical treatment of POP varies from 13% to 58%. This means that the earlier in life the operation is performed, the greater the risk is that the patient will be treated for the relapse of pelvic organ prolapse again later in life. Therefore, it is vital to choose not only between the conservative or surgical management of POP but also between various operations that have been developed to treat prolapse.

The aim of this Special Issue is to review the different methods of the surgical treatment of POP and the outcomes after applying them, with a particular focus on the recurrence of POP.

Dr. Justina Kačerauskienė
Guest Editor Assistant

Prof. Dr. Roger Roman Dmochowski
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pelvic organ prolapse
  • surgery
  • recurrence
  • vaginal hysterectomy
  • sacrocolpopexy
  • Manchester operation
  • sacrospinous fixation
  • native tissue 

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Published Papers (1 paper)

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Research

9 pages, 398 KiB  
Article
The Manchester Procedure as a Uterine-Preserving Alternative for Uterine Prolapse Due to Cervical Elongation: A Short- and Mid-Term Clinical Analysis
by Claudia Liger Guerra, Lorena Sabonet Morente, Juan Manuel Hidalgo Fernandez, Manuel Navarro Romero, Cristina Espada Gonzalez and Jesus S. Jimenez-Lopez
Medicina 2025, 61(7), 1183; https://doi.org/10.3390/medicina61071183 - 29 Jun 2025
Viewed by 271
Abstract
Background and Objectives: Pelvic organ prolapse (POP) is a prevalent condition that negatively impacts women’s quality of life. Uterine-preserving procedures are increasingly demanded by patients with uterine prolapse, particularly when associated with true cervical elongation. The Manchester procedure, historically used for uterine preservation, [...] Read more.
Background and Objectives: Pelvic organ prolapse (POP) is a prevalent condition that negatively impacts women’s quality of life. Uterine-preserving procedures are increasingly demanded by patients with uterine prolapse, particularly when associated with true cervical elongation. The Manchester procedure, historically used for uterine preservation, has regained interest due to its effectiveness and low morbidity. This study aims to evaluate the anatomical and functional outcomes of the Manchester procedure in women with uterine prolapse due to cervical elongation, assessing patient satisfaction and associated clinical factors. Materials and Methods: We conducted a retrospective, observational, single-center study at the Regional University Hospital of Málaga, Spain, including patients undergoing the Manchester procedure between January 2017 and December 2022. Inclusion criteria required a diagnosis of uterine prolapse due to clinically confirmed true cervical elongation. Surgical details, complications, and postoperative outcomes were recorded. Patient satisfaction was assessed using a Likert scale during follow-up visits. Results: A total of 38 patients were included, with a mean age of 48.7 years. All presented with symptomatic uterine prolapse and elongated cervix (>5 cm). The anatomical success rate was 97%, with only one case of symptomatic recurrence. The most common early postoperative complication was urinary tract infection (10.5%). The average follow-up duration was 18.6 months. A high level 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: The Manchester procedure is a safe, effective uterine-sparing surgical option for patients with cervical elongation-related uterine prolapse. It demonstrates a high anatomical success rate and low morbidity, with excellent patient satisfaction. Comprehensive preoperative assessment and addressing modifiable risk factors such as obesity and smoking are key to optimizing results. Further prospective studies are needed to assess long-term durability and quality-of-life outcomes. Full article
(This article belongs to the Special Issue Outcomes After Surgical Treatment of Pelvic Organ Prolapse)
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