Nonabsorbable Versus Delayed-Absorbable Sutures in Vaginal Uterosacral Ligament Suspension: A Retrospective Cohort Study.

Nahyun Judith Koh, Jihye Lim, Min Ju Kim, Myung Jae Jeon

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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.

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5 · Who and what money

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4 authors.

Nahyun Judith Koh *Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

Jihye Lim *Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

Min Ju Kim *Department of Obstetrics and Gynecology, Kyungpook National University Chilgok Hospital, Daegu, Korea.

Myung Jae JeonDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea. jeonmj@snu.ac.kr.ORCID http://orcid.org/0000-0001-5582-1488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe optimal suture material for uterosacral ligament suspension (USLS) remains uncertain. We compared surgical outcomes between nonabsorbable and delayed-absorbable sutures in vaginal USLS.

methodsThis retrospective cohort study included patients who underwent vaginal hysterectomy with USLS for uterine prolapse and completed 1-year follow-up. The primary outcome was composite surgical failure at 1 year, defined as vaginal bulge symptoms, apical descent greater than half of the total vaginal length, anterior or posterior descent beyond the hymen, or retreatment for prolapse. Secondary outcomes included suture-related complications and need for intervention.

resultsA total of 310 patients were included (205 nonabsorbable, 105 delayed-absorbable). Composite surgical failure was significantly higher in the delayed-absorbable group (38.1% vs 13.7%, p < 0.01). Overall suture-related complication rates did not differ significantly (p = 0.28), whereas complications requiring intervention were less frequent in the delayed-absorbable group (1.0% vs 5.9%, p = 0.04).

conclusionsDelayed-absorbable sutures were associated with higher surgical failure but fewer complications requiring intervention compared with nonabsorbable sutures.

Indexed as

ComplicationsPelvic organ prolapseSurgical failureSuture materialUterosacral ligament suspension

Identifiers

PMID42841934

DOI10.3909/riog0086

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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.