Surgical correction of uterine prolapse and cystocele. Bladder is dissected away from cervix; circular incision is made on cervix with mucosa being dissected free to expose the base of the cardinal ligament, which is clamped and cut. Cervix is amputated after each uterine artery is ligated with mucosa sutured to posterior lip and broad ligament base sutured to anterior lip; pubovesicocervical fascia is approximated in midline beneath urethra and excess vaginal mucosa is resected.

• Manchester Operation Atlas

• Medscape: Manchester Fothergill Operation