Abstract

Pelvic organ prolapse (POP) is a significant health issue among women, particularly postmenopausal and multiparous individuals. The Manchester-Fothergill surgery, first performed in 1888, is a conservative surgical approach designed to treat cervical elongation and early-stage POP while preserving the uterus. The procedure involves cervical amputation, anterior/posterior colporrhaphy, and ligamentous plication without breaching the peritoneal cavity, making it suitable for women with pelvic adhesions. Indications include stage I/II POP with cervical elongation, while contraindications include abnormal uterine bleeding and endometrial pathology. The surgery has advantages over vaginal hysterectomy, including shorter operative time, lower complication rates, and reduced reoperation rates. Shirodkar’s modification preserves the cervix to minimize postoperative complications. While long-term data on pregnancy outcomes are limited, Manchester-Fothergill surgery remains a viable option for women desiring uterine conservation.