International Urogynecology Journal (2018) 29:455–456 https://doi.org/10.1007/s00192-017-3529-7 COMMENTARY Commentary on: The Manchester-Fothergill procedure versus vaginal hysterectomy with uterosacral ligament suspension: a matched historical cohort study Tamara Grisales Received: 19 November 2017 /Accepted: 27 November 2017 /Published online: 29 December 2017 The International Urogynecological Association 2017 The authors of this study compared the uterus-sparing USLS. Mean follow-up periods were similar in the two Manchester-Fothergill procedure (MP) with vaginal hysterecto- groups: 48 months in the VH group and 51 months in the my (VH) with native tissue repair for the management of apical/ MP group. uterine prolapse. They synthesized data from four Danish nation- Recurrent prolapse and de novo prolapse in any compart- al databases to obtain a comprehensive set of information includ- ment were more common after VH. Recurrence in any com- ing demographics and patient characteristics, preoperative short- partment was 7.8% after MP and 18.3% after VH (p = form questionnaire and preoperative Pelvic Organ Prolapse 0.0002). Recurrence after MP and VH was further stratified Quantification (POP-Q) results, surgeon experience, and compli- by compartment: (1) apical 0.3% and 5.1% (p =0.0004), (2) cations. The study was performed as a historical cohort matched anterior 4.1% and 11.2% (p = 0.0002), and
International Urogynecology Journal – Springer Journals
Published: Dec 29, 2017
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