Evidence map›Paper›PMID 40884537›Full record

ArticleInternational urogynecology journal2026

Comparison of Arcus Tendineus Fascia Pelvis Versus Sacrospinous Ligament Suspension at the Time of Hysterectomy for Apical Pelvic Organ Prolapse.

Dorsa Sohaei, Christie Zhang, Eric Belzile, Taylor Morganstein, Nicole Koenig, Adi Reuveni-Salzman, Lisa Merovitz, Jens-Erik Walter, Roxana Geoffrion, Maryse Larouche

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dorsa SohaeiFaculty of Medicine and Health Science, McGill University, Montreal, QC, Canada.
Christie ZhangDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Eric BelzileSt. Mary's Research Center, 4th Floor Hayes Pavilion, 3830 Lacombe, Montreal, QC, H3T 1M5, Canada.
Taylor MorgansteinFaculty of Medicine and Health Science, McGill University, Montreal, QC, Canada.
Nicole KoenigDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Adi Reuveni-SalzmanDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Lisa MerovitzDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Jens-Erik WalterDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada.
Roxana GeoffrionDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Maryse LaroucheDivision of Urogynecology, Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada. ml.larouche@mcgill.ca.ORCID 0000-0001-9942-5540

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis retrospective cohort study was aimed at comparing two native tissue suspension techniques for correcting apical pelvic organ prolapse (POP): sacrospinous ligament suspension (SSLS) and arcus tendineus fascia pelvis suspension (ATFPS).

methodsMedical charts of 145 patients who underwent one of the two techniques for symptomatic uterine prolapse at two academic centers from 2017 to 2022 were reviewed. The success rate of each surgery, along with the risks of complications, pain, and urinary and bowel symptoms were evaluated.

resultsMean postoperative follow-up time was 42.4 ± 9.1 weeks. No significant differences in baseline characteristics were noted. Anatomical objective recurrence (POP-Q ≥ stage 2 POP in any compartment) was more prevalent following SSLS (SSLS 49.0%, AFTPS 23.4%; p = 0.005), with nearly all recurrences being anterior. There were no differences in resolution of apical prolapse. Subjective recurrence, defined as prolapse symptoms of vaginal bulge and pressure, also occurred at a higher rate post-SSLS (SSLS 22.4%, AFTPS 8.2%; p = 0.019). Postoperative buttock pain at 6 weeks was more common post-SSLS (SSLS 18.2%, AFTPS 1.6%; p = 0.006). Overall, reoperation for POP recurrence and/or incontinence occurred in 8.2% of SSLS and 3.1% of ATFPS (p = 0.222).

conclusionsIn the short term, ATFPS exhibited lower subjective and objective POP recurrence rates and less early postoperative pain compared with standard SSLS at the time of hysterectomy for POP.

Indexed as

Gynecologic Surgical ProceduresHysterectomyLigamentsPelvic Organ ProlapseAgedFemaleHumansMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeApical suspensionArcus tendineus fascia pelvisButtock painNative tissue repairPelvic organ prolapseSacrospinous ligament suspensionVault prolapse

Identifiers

PMID40884537

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.