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Symptoms were assessed with the pelvic floor distress inventory questionnaire (PFDI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred seventy-seven women with symptomatic II\u2013IV stage POP underwent mesh-supported vaginal sacrospinous ligament fixation. Of these women, 187 (67%) reported at least one pain symptom of moderate or quite a bit severity preoperatively (anterior\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009105, visceral\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009129, posterior\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009122). Of these women reporting pain, approximately 40\u201364% had coexisting symptoms of urinary urgency, daytime urinary urgency, urinary urgency-incontinence, and nocturia of moderate or quite a bit severity. A smaller part reported coexisting symptoms of underactive bladder (UAB), fecal incontinence (FI), and\/or obstructive defecation (OD). Six\u00a0months postoperatively, a significant reduction in the prevalence of almost all symptoms was observed. Cure rates for symptoms of overactive and underactive bladder were 65\u201385%, for symptoms of FI and OD 51\u201371%, and 58% (posterior), 85% (visceral), and 82% (anterior) for pain, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The coexistence of bothersome pain, bladder, and bowel symptoms is common in women with POP. Therefore, POP should always be ruled out as a differential diagnosis before classifying the symptoms as interstitial cystitis\/bladder pain syndrome. Women with POP and the co-existing symptoms described should be advised that surgical POP repair can resolve these symptoms in a high percentage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06348-y","type":"journal-article","created":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T11:35:22Z","timestamp":1762601722000},"page":"691-698","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coexistence of Pelvic Pain, Bladder, and Bowel Symptoms in Women with Pelvic Organ Prolapse: The Effect of Transvaginal Surgery"],"prefix":"10.1007","volume":"37","author":[{"given":"Lena","family":"Schmidbauer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Liedl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Goeschen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksander","family":"Antoniewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Kurtzman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8816-0786","authenticated-orcid":false,"given":"Maren Juliane","family":"Wenk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,8]]},"reference":[{"issue":"11","key":"6348_CR1","doi-asserted-by":"publisher","first-page":"1783","DOI":"10.1007\/s00192-013-2169-9","volume":"24","author":"MD Barber","year":"2013","unstructured":"Barber MD, Maher C. 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