The Manchester operation was designed for women with second-and third-degree uterine descensus with cystourethrocele. If stress incontinence of urine accompanies the condition, the Manchester operation can be combined with a Kelly plication of the urethrovesical sphincter. The advantages of the Manchester operation are that the surgeon does not enter the peritoneal cavity, the operating time is reduced, and the operation is not associated with a prolonged or morbid recovery. For all of these reasons, it is ideal for the elderly patient with no other uterine disease.
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