A 32-year-old multiparous woman has second degree uterovaginal prolapse and wishes to retain her uterus for future childbearing. Which operation combines amputation of the cervix with plication of the cardinal ligaments anteriorly along with anterior colporrhaphy?

• A Vaginal hysterectomy with pelvic floor repair
• B Le Fort colpocleisis
• C Sacrospinous ligament fixation
• D Manchester (Fothergill) operation ✓

Explanation

The Manchester or Fothergill operation consists of cervical amputation, transfixion of the Mackenrodt ligaments in front of the shortened cervix, and anterior colporrhaphy, correcting prolapse while conserving the uterus, hence its use in younger women who want future fertility. Vaginal hysterectomy removes the uterus, sacrospinous fixation addresses vault prolapse, and colpocleisis obliterates the vagina and is only for elderly women not sexually active.

Reference: DC Dutta's Textbook of Gynecology, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.