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Articles were evaluated by three independent reviewers for quality, relevance, and outcomes assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen studies (six prospective, nine retrospective, and three case series) that included follow-up data on 126 patients with pregnancy after POP surgery were included in data analysis. The mean follow-up period was 37.2 months. The majority of patients had previously undergone native tissue POP repair, 64.3%, vs 35.7% who had undergone mesh-augmented repairs. Nearly all (94.8%) deliveries after POP surgery occurred at term. Cesarean delivery (CD) was common (65.8%). No neonatal complications were reported. POP recurrence rate was 11.7% with the majority (71.4%) occurring after native tissue repair. Analyzed separately, among 14 case reports of pregnancies following mesh-based sacrohysteropexy, cesarean delivery was common (85.7%) and prolapse recurrence rate was low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current evidence suggests that uterine-sparing prolapse surgery, whether mesh-augmented or native tissue, is associated with favorable obstetric outcomes, low neonatal risk, and low rates of POP recurrence; however, longitudinal data is limited in the absence of randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06812-3","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T10:33:59Z","timestamp":1784284439000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy After Uterine-Preserving Prolapse Surgery: Obstetric Outcomes and Prolapse Recurrence Following Native Tissue and Mesh-Augmented Repairs"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7182-5147","authenticated-orcid":false,"given":"Rhianna","family":"Bhatia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avni","family":"Ahuja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moiuri","family":"Siddique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"issue":"2","key":"6812_CR1","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1007\/s00192-015-2932-1","volume":"27","author":"BT Haylen","year":"2016","unstructured":"Haylen BT, Maher CF, Barber MD, et al. 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