Evidence map›Paper›PMID 29532126›Full record

Observational studyInternational urogynecology journal2018

The Manchester procedure: anatomical, subjective and sexual outcomes.

Sissel Hegdahl Oversand, Anne C Staff, Ellen Borstad, Rune Svenningsen

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  8. [Vaginal pelvic floor reconstruction techniques].Urologie (Heidelberg, Germany) · 2025
    Review
  9. [Pelvic floor reconstruction and sexual function].Urologie (Heidelberg, Germany) · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Sissel Hegdahl OversandDepartment of Gynaecology, Oslo University Hospital, Ulleval, Pb 4956 Nydalen, 0424, Oslo, Norway. sisseloversand@gmail.com.ORCID http://orcid.org/0000-0003-0766-4523
Anne C StaffDepartment of Gynaecology, Oslo University Hospital, Ulleval, Pb 4956 Nydalen, 0424, Oslo, Norway.
Ellen BorstadDepartment of Gynaecology, Oslo University Hospital, Ulleval, Pb 4956 Nydalen, 0424, Oslo, Norway.
Rune SvenningsenDepartment of Gynaecology, Oslo University Hospital, Ulleval, Pb 4956 Nydalen, 0424, Oslo, Norway.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisClassical native-tissue techniques for pelvic organ prolapse (POP) repairs, such as the Manchester procedure (MP), have been revitalized because of vaginal mesh complications. However, there are conflicting opinions regarding sufficient apical (mid-compartment) support by the MP and concerns about the risk of dyspareunia. The aims of this study were therefore to investigate anatomical and patient-reported outcomes 1 year after MP.

methodsProspective cohort study of 153 females undergoing an MP for anterior compartment POP between October 2014 and June 2016. Pre- and 1-year postoperative evaluations included POP-Q measurements and the questionnaires Pelvic Floor Distress Inventory Short Form 20 (PFDI-20) and POP/Urinary Incontinence Sexual Questionnaire (PISQ-12).

resultsAt 1 year, 97% (148/153) attended the follow-up. Significant anatomical improvements (p < 0.01) were obtained in all compartments. Mean Ba was -1.1 (± 1.4), mean C -5.9 (± 1.7) and mean D -7.0 (± 1.2) at follow-up. Point C ≤ -5 was present in 81.1%. POP-Q stage 0-1 was obtained in 99.3% in the mid-compartment (C < -1), but only in 48.6% in the anterior compartment (Ba < -1). A significant reduction in symptom scores was obtained for PFDI-20 (p < 0.01) and PISQ-12 (p = 0.01). No significant changes were seen in dyspareunia rates (q.5, PISQ-12), but 5.6% reported de novo dyspareunia. Concerning POP symptoms, 96.0% reported being cured or significantly improved.

conclusionsThe Manchester procedure provides adequate apical support, albeit inferior anatomical anterior compartment results, and 96.0% reported being subjectively cured or substantially better at 1-year follow-up, with no significant change in dyspareunia.

Indexed as

Organ Sparing TreatmentsQuality of LifeSexual BehaviorDyspareuniaFemaleFollow-Up StudiesGynecologic Surgical ProceduresHumansNorwayPelvic FloorPelvic Organ ProlapsePostoperative ComplicationsProspective StudiesSeverity of Illness IndexSurveys and QuestionnairesSwedenDyspareuniaGynecologic surgical proceduresPelvic organ prolapseRecurrence

Identifiers

PMID29532126
OpenAlexW2793033706

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.