{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T11:24:42Z","timestamp":1783596282065,"version":"3.55.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Odense University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>To assess long-term patient-reported outcomes across six surgical procedures for first-time vaginal vault suspension (VVS) for apical prolapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A nationwide cohort study with 3\u201314 years of follow-up. Data were obtained from a national urogynaecological database, medical records, and questionnaires: International Consultation on Incontinence Questionnaire\u2013Vaginal Symptoms (ICIQ-VS), Pelvic Floor Distress Inventory-20 (PFDI-20), Pelvic Floor Impact Questionnaire-7 (PFIQ-7). A total of 1016 women with prior hysterectomy underwent first-time VVS between 2010 and 2020, including sacrocolpopexy (SCP,\n                      <jats:italic>n<\/jats:italic>\n                      = 107), laparoscopic uterosacral ligament suspension (LUSLS,\n                      <jats:italic>n<\/jats:italic>\n                      = 25), ipsilateral uterosacral ligament suspension (IUSLS,\n                      <jats:italic>n<\/jats:italic>\n                      = 284), vaginal extraperitoneal uterosacral ligament suspension (VEULS,\n                      <jats:italic>n<\/jats:italic>\n                      = 56), sacrospinous ligament fixation (SSLF,\n                      <jats:italic>n<\/jats:italic>\n                      = 493), and sacrospinous ligament fixation with graft (SSLF with graft,\n                      <jats:italic>n<\/jats:italic>\n                      = 51). Patients were identified using NOMESCO procedure codes. Multivariable analyses adjusted for age, time since VVS, and prior prolapse surgery. The primary outcome was global impact of vaginal symptoms; secondary outcomes included sexual symptom burden and vaginal, bowel, and urinary symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>SCP was associated with lower symptom burden than other procedures. Compared with SCP global impact score was higher following IUSLS (ratio 1.30, 95% CI 1.01\u20131.69) and SSLF (ratio 1.28, 95% CI 1.00\u20131.64). Sexual symptom burden was higher after SSLF with graft (ratio 4.07, 95% CI 1.19\u201313.91), and higher PFIQ-7 scores were observed following IUSLS (ratio 1.56, 95% CI 1.07\u20132.30).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SCP was associated with lower long-term symptom burden, whereas SSLF with graft and IUSLS were associated with higher symptom burden in selected domains. Findings should be interpreted with caution due to potential confounding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06795-1","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:48:17Z","timestamp":1783594097000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Comparison of Patient-Reported Outcomes Following Six Surgical Procedures for Apical Suspension"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2142-9790","authenticated-orcid":false,"given":"Dorte","family":"Teilmann-J\u00f8rgensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Klarskov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ditte","family":"Gommesen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Glavind-Kristensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Glavind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Rudnicki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"issue":"12","key":"6795_CR1","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1007\/s00192-008-0718-4","volume":"19","author":"P Dallenbach","year":"2008","unstructured":"Dallenbach P, Kaelin-Gambirasio I, Jacob S, Dubuisson JB, Boulvain M. 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