PROLAPSE – SEVERE SYMPTOMS

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PROLAPSE – SEVERE SYMPTOMS

These were used in the past in frail old women for whom operation might have been too dangerous. Now, with modern anaesthetics and resuscitative measures having improved so much, there are few patients who are considered too sick to risk operation.

Sometimes, they were used in younger women who still wanted to have more children and may be still used for that purpose.

For those with severe symptoms, operation is usually indicated. This repair operation is usually called the Manchester or Forthergill Repair, after Dr Fothergill, a gynaecologist of Manchester in the UK, who devised it.

In this procedure, the cervix is amputated and the ligaments at the side of the womb are brought in front of the remainder of the cervix and stitched together to lift up and support the uterus.

As well, the lax tissue from the front and back walls of the vagina is cut out, like taking a tuck in a piece of material. The underlying tissues are pulled together with stitches. In elderly women who are no longer leading active sex lives, the opening of the vagina may be considerably tightened so as to lessen the chance of recurrence. This would make intercourse impossible.

In sexually active women, vaginal repair tightens the opening to what it was before childbirth.

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