Abstract
1. A personal series of 610 repair operations has been reviewed with reference to age, parity, type of prolapse, and type of operation.2. The technique of operation has been described.3. The operative mortality was 0.3 per cent.4. Postoperative complications were minimal and this is attributed, in large measure, to the adoption of a practice of early ambulation in all cases.5. A subsequent review of 338 cases was undertaken; this represented 97.8 per cent of the patients who had had a Manchester repair at least one year before review.6. The effectiveness of the repair was considered in relation to each of the patient's symptoms and the most successful results were in the cure of the sensation of prolapse (97.8 per cent); the failure rate in stress incontinence was 10.3 per cent. Seventeen patients (5 per cent) were disappointed, in general, with the operative result.
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