{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T05:00:54Z","timestamp":1768280454977,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,8]],"date-time":"2019-03-08T00:00:00Z","timestamp":1552003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2016\u201024065\u20102"],"award-info":[{"award-number":["2016\u201024065\u20102"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare postoperative vaginal axis (VA) following vaginal sacrospinous fixation (VSF) or abdominal sacrocolpopexy (ASC) using magnetic resonance imaging (MRI) at postoperative period, in a randomized sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010one patients randomized to VSF with an anterior mesh or ASC were recruited with a mean 27\u2010month follow\u2010up for pelvic MRI; 40 patients underwent the examination. VA was calculated in relation to the pelvic inclination correction line. All patients were submitted to physical examination according to the pelvic organ prolapse quantification system, subjective impression questionnaires and quality of life (QoL) questionnaires (<jats:italic>International Consultation on Incontinence Questionnaire<\/jats:italic>, ICIQ). Objective failure was defined as points Ba, Bp, or C\u2009&gt;\u20090. Subjective cure was defined as questions 5a and 6a from the ICIQ\u2010VS questionnaire equal to zero.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>VA exhibited two portions (inferior and medium). Mean medium axis was equally more obtuse in VSF (85.9\u00b0\u2009\u00b1\u20099.9\u00b0; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and ASC (87.1\u00b0\u2009\u00b1\u200914.7\u00b0; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) groups, with no difference between them. Mean inferior axis was more acute for both groups (VSF, 72.5\u00b0\u2009\u00b1\u200919.1\u00b0, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001; ASC, 75.7\u00b0\u2009\u00b1\u200915.5\u00b0, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). All women had normal medium axes and 47.5% had inferior axis values above the 95th or below the fifth percentile, without differences regarding type of surgery performed. Women with abnormal vs normal VA did not present any difference regarding pre or postoperative physical examination, demographic characteristics, objective or subjective cure, patient satisfaction, QoL scores, or sexuality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both VSF and ASC deviate the physiological VA, both in its medium and inferior portions, where values fall outside normality percentiles. However, this alteration was not associated with worse objective, subjective, QoL, or sexual outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23970","type":"journal-article","created":{"date-parts":[[2019,3,8]],"date-time":"2019-03-08T15:31:11Z","timestamp":1552059071000},"page":"1142-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Vaginal axis after abdominal sacrocolpopexy versus vaginal sacrospinous fixation\u2014a randomized trial"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-1195","authenticated-orcid":false,"given":"Cassia Raquel Teatin","family":"Juliato","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Carlos","family":"Santos\u2010Junior","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edilson Benedito","family":"de Castro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio Sanjuan","family":"Dertkigil","sequence":"additional","affiliation":[{"name":"Department of Radiology, School of Medical Sciences University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7364-4718","authenticated-orcid":false,"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences University of Campinas S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,8]]},"reference":[{"key":"e_1_2_8_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000136100.10818.d8"},{"key":"e_1_2_8_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"issue":"11","key":"e_1_2_8_1_4_1","first-page":"1311","article-title":"Prevalence of symptomatic pelvic floor disorders in US women","volume":"300","author":"Nygaard I","year":"2008","journal-title":"JAMA Network"},{"key":"e_1_2_8_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c2ce96"},{"key":"e_1_2_8_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000200"},{"key":"e_1_2_8_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.177"},{"key":"e_1_2_8_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1626-6"},{"key":"e_1_2_8_1_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3324-5"},{"key":"e_1_2_8_1_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22916"},{"key":"e_1_2_8_1_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.4919"},{"key":"e_1_2_8_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004014.pub5"},{"key":"e_1_2_8_1_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000264066.89094.21"},{"key":"e_1_2_8_1_14_1","first-page":"CD012376","article-title":"Surgery for women with apical vaginal prolapse","volume":"10","author":"Maher C","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70084-4"},{"key":"e_1_2_8_1_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170016"},{"issue":"4","key":"e_1_2_8_1_17_1","first-page":"444","article-title":"Recurrent pelvic support defects after sacrospinous ligament fixation for vaginal vault prolapse","volume":"180","author":"Holley RL","year":"1995","journal-title":"J Am Coll Surg"},{"issue":"2","key":"e_1_2_8_1_18_1","first-page":"251","article-title":"Significance of restoration of normal vaginal depth and axis","volume":"36","author":"Nichols DH","year":"1970","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_1_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197812000-00026"},{"key":"e_1_2_8_1_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00186.x"},{"key":"e_1_2_8_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.11.037"},{"key":"e_1_2_8_1_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000557"},{"key":"e_1_2_8_1_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2017.1336754"},{"key":"e_1_2_8_1_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000539"},{"key":"e_1_2_8_1_25_1","first-page":"321","article-title":"Die chirurgische anatomie der vaginae fixation sacrospinalis vaginalis. 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