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This study was aimed at comparing the risk of mesh exposure between LSC with total hysterectomy and the uterine-preserving approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 198 patients who underwent LSC for pelvic organ prolapse. Based on surgical approach, patients were divided into two groups: those with concomitant total hysterectomy (\n                      <jats:italic>n<\/jats:italic>\n                      = 169) and those who underwent uterus-preserving LSC (\n                      <jats:italic>n<\/jats:italic>\n                      = 29). The primary outcome was mesh exposure. A logistic regression model was employed to calculate odd ratios (OR) and 95% confidence interval (CI) while adjusting potential confounding factors. Secondary outcomes included the composite success, anatomical outcomes, and self-reported symptom improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median follow-up time of the whole cohort was 32 months. The incidence of mesh exposure was higher in the hysterectomy group compared with the uterine preservation group (27 out of 169, 16.0% vs 1 out of 29, 3.4%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.13). After controlling confounding factors, concomitant hysterectomy was associated with a nearly tenfold increased risk of mesh exposure (adjusted OR, 9.9; 95% CI, 1.5 to 199.0). There was no statistically significant difference in the composite success endpoint between the two groups (107 out of 131, 81.7% vs 21 out of 25, 84.0%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.99).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Concomitant hysterectomy during LSC was associated with increased risk of mesh exposure, and the composite success rates of the two groups were similar.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06554-2","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T13:07:11Z","timestamp":1773752831000},"page":"2507-2514","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study"],"prefix":"10.1007","volume":"37","author":[{"given":"Rusha","family":"Yin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5753-5426","authenticated-orcid":false,"given":"Lan","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"issue":"6","key":"6554_CR1","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1097\/AOG.0000000000000286","volume":"123","author":"JM Wu","year":"2014","unstructured":"Wu JM, Matthews CA, Conover MM, Pate V, Jonsson Funk M. 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