Introduction: Pelvic organ prolapse among young fertile patient is increasing. Management of these patients remained a challenge to medical personnel. Fertility is an important issue. Conservative management using ring pessary is advocated. However when ring fails; surgery conserving the uterus i.e. sacrohysteropexy and Manchester repair are recommended. Manchester repair is associated with preterm labour.
Case Presentation: This is a case report of a 29 year old lady who sustained pelvic organ prolapse following motor vehicle accident. She was treated with ring pessary. She conceived her 1st pregnancy in 2015 and delivered via Caesarean section at 31 weeks period of amenorrhoea. She underwent Manchester repair and Pelvic Floor Repair on 25th Mac 2016. She conceived in May 2016. She delivered at 31 weeks via Caesarean Section for preterm labour. Her baby weighed 1.3 kg and discharged well
Conclusion: Manchester repair does not affect fertility. As expected, patient had pre term delivery. In young women with pelvic organ prolapse who wants fertility, Manchester repair is an option.