The Manchester Repair, A Successful Surgical Alternative To Vaginal Hysterectomy


I have been performing complex vaginal surgery for over 25 years. When I was a trainee in the 90’s. the Manchester repair became an unfashionable procedure, but we have seen a great deal of interest in this procedure as a viable alternative to vaginal hysterectomy in the last 5 years.  I now carry this procedure out routinely. This is because I am now seeing many young women with significant prolapse (mainly cervical) who do not want a vaginal hysterectomy, and accept this as an alternative successful prolapse procedure.

The procedure

I advise patients that they will require an overnight stay. The operation is carried out either under a general anaesthetic or spinal anaesthetic. It is extremely effective at reversing utero-vaginal prolapse and at surgery, I will shorten the cervix, and use the supporting vaginal ligaments to support the uterus. This prevents the need for a hysterectomy. I also will carry out a repair of the vaginal prolapse, and assess the bladder with a cystoscopy.

What vaginal prolapse will  a Manchester repair treat?

 A uterine or cervical prolapse. The cervix tends to extend in your 40’s and you may experience worsening dragging pain, and sex can become difficult. A classic presentation of a uterine prolapse is the presence of a lump presenting in the vagina, caused by the uterus  dropping into the vaginal. I believe that a Manchester Repair is an excellent surgical option, with a swift recovery time.

The risks of vaginal surgery are related to prolapse recurrence, and this can happen with a Manchester repair. I offer appointments both in London and Manchester to assess your suitability.

For further information and to book an appointment, please contact my secretary Zainab [email protected] 0208 371 1510

Mr. Nicholas Morris is a member of Laurel Leaf Networking.


Leave a Comment

Your email address will not be published. Required fields are marked *

Sign-up to Our Newsletter

Don’t miss out! Receive our fabulous weekly newsletter showcasing our trusted businesses, events, offers and blogs. We’ll also send you information about our upcoming networking events.

Join our Facebook group