Manchester Procedure vs Sacrospinous Hysteropexy for Pelvic Organ Prolapse —Reply

In Reply We appreciate the thoughtful comments of Dr Ye and colleagues and respond on behalf of the entire SAM Study Group. In the SAM study, we proved inferiority of sacrospinous hysteropexy compared with the Manchester procedure for the techniques as applied in the SAM study. We underline that a relevant step in this modification of the Manchester procedure was the extraperitoneal posterior plication with 3 or 4 sutures running through the uterosacral ligaments that were left attached to the amputated uterus. Until recently, neither the traditional technique nor modifications had been compared in large, well-performed randomized clinical trials. The technique used in the SAM study has been presented at international urogynecology meetings since 2010.
Source: JAMA - Category: General Medicine Source Type: research