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All research protocols, including the inclusion\/exclusion criteria of study subjects, data collection methods, surgical procedures, evaluation indicators, and follow-up plans, were reviewed and approved by the\n                      Clinical Research Ethics Committee of Liupanshui People's Hospital, Guizhou Province, China\n                      (Ethical Approval No.: 2022\u201303-14323) before the initiation of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Statement"}},{"value":"Informed Consent:\n                      Prior to their participation in the study, all enrolled patients (including those in Group A, Group B, and their respective subgroups) were fully informed of the study purpose, research design, surgical procedures (laparoscopic lateral abdominal wall suspension [LLS], concurrent retropubic midurethral sling [MUS], and delayed MUS), potential risks (e.g., urinary tract infection, urinary retention, dyspareunia, mesh exposure), benefits, and follow-up requirements. Each patient voluntarily signed a written informed consent form after confirming that they had understood all relevant information, and had the right to withdraw from the study at any time without any negative impact on their subsequent clinical treatment.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Protection of Study Subjects"}},{"value":"The study excluded special vulnerable groups such as pregnant or lactating women, patients with severe cardiopulmonary dysfunction, malignant tumors, and mental illness who were unable to cooperate with follow-up, to avoid increasing additional health risks for these populations. For the control group (healthy young women aged 20\u201335\u00a0years without a history of abortion, childbirth, or urinary incontinence), the same informed consent process was implemented, and their willingness to participate was fully respected.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Inclusion of Vulnerable Groups"}},{"value":"Personal Information Protection:\n                      All personal identifying information of the subjects (e.g., name, age, medical record number, contact information) was anonymized during data collection and management. Each subject was assigned a unique study code, and the corresponding relationship between the code and personal information was stored in a password-protected database, which was only accessible to the core research team (responsible for data management, such as Sigui Feng who participated in database maintenance and data cleaning).\n                      Data Use and Sharing:\n                      The clinical data, urodynamic test results, POP-Q scores, dynamic MRI images, and PGI-I scale data collected in the study were only used for the purpose of this research and related academic publications. Without the explicit permission of the Ethical Committee and the subjects, the data will not be disclosed to any third party or used for other non-research purposes.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Privacy and Data Security"}},{"value":"Ethical Supervision:\n                      During the study implementation, the research team strictly followed the approved protocol. Any adjustments to the research plan (e.g., modification of follow-up time, adjustment of evaluation indicators) were submitted to the Clinical Research Ethics Committee of Liupanshui People's Hospital for re-review and approval before implementation.\n                      Management of Adverse Events\n                      : For any adverse events occurring during the study (e.g., urinary tract infection, urinary retention, mesh exposure), the research team (including clinical implementers such as Huajie Wu who was responsible for postoperative follow-up and efficacy evaluation) promptly recorded the details, took appropriate clinical treatment measures to ensure the safety of the subjects, and reported the situation to the Ethical Committee in a timely manner.\n                      Statistical Analysis Ethics\n                      : The statistical analysis of the study data (completed with the assistance of Rui Chen) strictly followed the principle of data authenticity. No data fabrication, tampering, or selective reporting was conducted. The statistical methods and results were truthfully presented in the study to ensure the scientificity and integrity of the research conclusions.\n                      Ethical Review of the Manuscript\n                      The final version of this study manuscript was reviewed by the research team (including Qinjun Ge who participated in the academic review of the final manuscript) to confirm that the content fully complies with ethical requirements, and the rights and interests of the subjects are fully protected. The manuscript does not contain any content that violates ethical norms or endangers the privacy of the subjects.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Norms in the Research Process"}},{"value":"None.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}