Observational studyThe Journal of international medical research2026
Observation of medium-term outcomes of transvaginal extraperitoneal high uterosacral ligament suspension with anterior mesh without hysterectomy for advanced multi-compartmental prolapse.
Observational study in The Journal of international medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
ObjectiveThis retrospective observational cohort study aimed to evaluate the mid-term results of anterior vaginal mesh combined with bilateral vaginal extraperitoneal high uterosacral ligament suspension (EHUS) versus sacrospinous ligament fixation (SSLF) for advanced anterior and apical pelvic organ prolapse without hysterectomy.MethodsIn total, 143 patients (age ≥60 years) with apical and anterior prolapse stage ≥2 who underwent surgery for pelvic organ prolapse were retrospectively reviewed. The primary outcome was the effect of the procedures on anatomical reduction (pelvic organ prolapse, stage ≤1) and subjective cure defined as negative response to questions 2 and 3 on the Pelvic Organ Prolapse Distress Inventory-6. The main secondary outcomes included complication and improvement of questionnaire scores based on Pelvic Organ Prolapse Distress Inventory-6, Urogenital Distress Inventory-6, and Patient Global Impression of Improvement.ResultsBetween 2016 and 2023, 80 eligible women underwent EHUS and 63 underwent SSLF. There was significant improvement in the postoperative Pelvic Organ Prolapse Quantification System scores of all patients in both groups. The objective success rate at the 3-year follow-up was 94.7% for EHUS and 96.7% for SSLF (
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