Day theatre procedure
About this service
The Manchester repair operation is a surgical repair for uterine prolapse combined with shortening of the cervix, and it is available in Windhoek at Eastgate Clinic. It is used to treat uterine prolapse, particularly in women who wish to retain their uterus, by shortening and repositioning the cervix along with repairing the supporting tissues of the pelvis. This helps relieve the pressure, discomfort, and bulging associated with prolapse.
The surgery is carried out in our on-site day theatre under regional or general anaesthesia. Your doctor will assess the degree of prolapse and discuss whether this operation is suitable for you.
What to expect
- A pelvic examination, sometimes while you stand or strain, to grade the prolapse
- Regional or general anaesthesia given by an anaesthetist in our on-site day theatre
- The cervix is shortened and the supporting ligaments stitched to lift the uterus back into place
- A catheter and vaginal pack are commonly used for the first day, and a short stay may be advised
- Six weeks without heavy lifting or intercourse while the repair strengthens, then a check-up
Who is it for?
You may be advised to have this if you are dealing with:
- A feeling of a bulge or heaviness in the pelvis or vagina
- A visible or felt prolapse of the uterus or cervix
- Discomfort or pressure that worsens through the day or with standing
- A wish to treat prolapse while retaining the uterus
- A prolapse diagnosed after childbirth or with age
Frequently asked questions
Can I keep my uterus with a Manchester repair?
Yes, that is the point of the operation. The cervix is shortened and the supporting ligaments tightened so the uterus is lifted back into place without removing it. It suits women who prefer to avoid a hysterectomy.
How long is recovery after a Manchester repair operation?
Most women rest at home for a couple of weeks and avoid heavy lifting, straining and intercourse for around six weeks so the repair can strengthen. Your doctor will give you a plan based on how much repair was done.
Do I need a gynaecologist's referral for a Manchester repair?
You can book an assessment at Eastgate Clinic directly. The doctor examines the prolapse, discusses whether this operation or another repair suits you, and involves a visiting specialist where that is appropriate.
For referring doctors
Eastgate Clinic's day theatre in Windhoek is equipped for Manchester repair operations, with anaesthetist and theatre staff provided on site. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your manchester repair operation?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.