{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:52:52Z","timestamp":1791402772270,"version":"4.3.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"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>The optimal suture material for uterosacral ligament suspension (USLS) remains uncertain. We compared surgical outcomes between nonabsorbable and delayed-absorbable sutures in vaginal USLS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients who underwent vaginal hysterectomy with USLS for uterine prolapse and completed 1-year follow-up. The primary outcome was composite surgical failure at 1\u00a0year, defined as vaginal bulge symptoms, apical descent greater than half of the total vaginal length, anterior or posterior descent beyond the hymen, or retreatment for prolapse. Secondary outcomes included suture-related complications and need for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 310 patients were included (205 nonabsorbable, 105 delayed-absorbable). Composite surgical failure was significantly higher in the delayed-absorbable group (38.1% vs 13.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Overall suture-related complication rates did not differ significantly (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.28), whereas complications requiring intervention were less frequent in the delayed-absorbable group (1.0% vs 5.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delayed-absorbable sutures were associated with higher surgical failure but fewer complications requiring intervention compared with nonabsorbable sutures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06925-9","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:47:23Z","timestamp":1791355643000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nonabsorbable Versus Delayed-Absorbable Sutures in Vaginal Uterosacral Ligament Suspension: A Retrospective Cohort Study"],"prefix":"10.1007","author":[{"given":"Nahyun Judith","family":"Koh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihye","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Ju","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5582-1488","authenticated-orcid":false,"given":"Myung Jae","family":"Jeon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"6925_CR1","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/S0140-6736(07)60462-0","volume":"369","author":"JE Jelovsek","year":"2007","unstructured":"Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet. 2007;369:1027\u201338. https:\/\/doi.org\/10.1016\/S0140-6736(07)60462-0","journal-title":"Lancet"},{"key":"6925_CR2","doi-asserted-by":"publisher","first-page":"e126","DOI":"10.1097\/AOG.0000000000003519","volume":"134","author":"American College of Obstetricians and Gynecologists","year":"2019","unstructured":"American College of Obstetricians and Gynecologists. Pelvic organ prolapse. ACOG Practice Bulletin No. 214. Obstet Gynecol. 2019;134:e126\u201342. https:\/\/doi.org\/10.1097\/AOG.0000000000003519","journal-title":"Obstet Gynecol"},{"key":"6925_CR3","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1067\/mob.2000.110910","volume":"183","author":"BL Shull","year":"2000","unstructured":"Shull BL, Bachofen C, Coates KW, Kuehl TJ. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol. 2000;183:1365\u201374. https:\/\/doi.org\/10.1067\/mob.2000.110910","journal-title":"Am J Obstet Gynecol"},{"key":"6925_CR4","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1007\/s00192-010-1109-1","volume":"21","author":"T Yazdany","year":"2010","unstructured":"Yazdany T, Yip S, Bhatia NN, Nguyen JN. Suture complications in a teaching institution among patients undergoing uterosacral ligament suspension with permanent braided suture. Int Urogynecol J. 2010;21:813\u20138. https:\/\/doi.org\/10.1007\/s00192-010-1109-1","journal-title":"Int Urogynecol J"},{"key":"6925_CR5","doi-asserted-by":"publisher","first-page":"1503","DOI":"10.1016\/j.jmig.2020.12.008","volume":"28","author":"J Lee","year":"2021","unstructured":"Lee J, Oh S, Jeon MJ. Suture complication rates and surgical outcomes according to the nonabsorbable suture materials used in vaginal uterosacral ligament suspension: polyester versus polypropylene. J Minim Invasive Gynecol. 2021;28:1503\u20137. https:\/\/doi.org\/10.1016\/j.jmig.2020.12.008","journal-title":"J Minim Invasive Gynecol"},{"key":"6925_CR6","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1097\/SPV.0000000000000451","volume":"24","author":"MS Bradley","year":"2018","unstructured":"Bradley MS, Bickhaus JA, Amundsen CL, Newcomb LK, Truong T, Weidner AC, et al. Vaginal uterosacral ligament suspension: a retrospective cohort of absorbable and permanent suture groups. Female Pelvic Med Reconstr Surg. 2018;24:207\u201312. https:\/\/doi.org\/10.1097\/SPV.0000000000000451","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"6925_CR7","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1007\/s00192-020-04244-1","volume":"32","author":"JT Kowalski","year":"2021","unstructured":"Kowalski JT, Genadry R, Ten Eyck P, Bradley CS. A randomized controlled trial of permanent vs absorbable suture for uterosacral ligament suspension. Int Urogynecol J. 2021;32:785\u201390. https:\/\/doi.org\/10.1007\/s00192-020-04244-1","journal-title":"Int Urogynecol J"},{"key":"6925_CR8","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1016\/j.jmig.2022.03.004","volume":"29","author":"HH Chill","year":"2022","unstructured":"Chill HH, Cohen-Milun G, Cohen A, Moss NP, Winer JD, Shveiky D. Absorbable versus permanent suture for vaginal uterosacral ligament suspension for treatment of apical prolapse. J Minim Invasive Gynecol. 2022;29:784\u201390. https:\/\/doi.org\/10.1016\/j.jmig.2022.03.004","journal-title":"J Minim Invasive Gynecol"},{"key":"6925_CR9","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s00192-011-1556-3","volume":"23","author":"CP Chung","year":"2012","unstructured":"Chung CP, Miskimins R, Kuehl TJ, Yandell PM, Shull BL. Permanent suture used in uterosacral ligament suspension offers better anatomical support than delayed absorbable suture. Int Urogynecol J. 2012;23:223\u20137. https:\/\/doi.org\/10.1007\/s00192-011-1556-3","journal-title":"Int Urogynecol J"},{"key":"6925_CR10","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/S0002-9378(96)70243-0","volume":"175","author":"RC Bump","year":"1996","unstructured":"Bump RC, Mattiasson A, B\u00f8 K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10\u20137. https:\/\/doi.org\/10.1016\/S0002-9378(96)70243-0","journal-title":"Am J Obstet Gynecol"},{"key":"6925_CR11","doi-asserted-by":"publisher","first-page":"330","DOI":"10.5468\/ogs.2013.56.5.330","volume":"56","author":"EH Yoo","year":"2013","unstructured":"Yoo EH, Jeon MJ, Ahn KH, Bai SW. Translation and linguistic validation of Korean version of short form of pelvic floor distress inventory-20, pelvic floor impact questionnaire-7. Obstet Gynecol Sci. 2013;56:330\u20132. https:\/\/doi.org\/10.5468\/ogs.2013.56.5.330","journal-title":"Obstet Gynecol Sci"},{"key":"6925_CR12","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1097\/AOG.0b013e3181b2b1ae","volume":"114","author":"MD Barber","year":"2009","unstructured":"Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, et al. Defining success after surgery for pelvic organ prolapse. Obstet Gynecol. 2009;114:600\u20139. https:\/\/doi.org\/10.1097\/AOG.0b013e3181b2b1ae","journal-title":"Obstet Gynecol"},{"key":"6925_CR13","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1097\/SPV.0000000000001383","volume":"29","author":"S Oh","year":"2023","unstructured":"Oh S, Shin EK, Lee SY, Kim MJ, Lee Y, Jeon MJ. Anatomic criterion for clinically relevant apical prolapse in urogynecology populations. Urogynecology (Phila). 2023;29:860\u20134. https:\/\/doi.org\/10.1097\/SPV.0000000000001383","journal-title":"Urogynecology (Phila)"},{"key":"6925_CR14","doi-asserted-by":"publisher","first-page":"197","DOI":"10.14740\/jcgo336w","volume":"4","author":"A Nieuwoudt","year":"2015","unstructured":"Nieuwoudt A, Appleby CE, Mukhopadhyay S. Native tissue repair and principles of wound healing: introducing the concept of regenerative surgery in vaginal prolapse repair. J Clin Gynecol Obstet. 2015;4:197\u2013202. https:\/\/doi.org\/10.14740\/jcgo336w.","journal-title":"J Clin Gynecol Obstet"},{"key":"6925_CR15","doi-asserted-by":"publisher","first-page":"146","DOI":"10.3909\/riog0086","volume":"2","author":"JA Greenberg","year":"2009","unstructured":"Greenberg JA, Clark RM. Advances in suture material for obstetric and gynecologic surgery. Rev Obstet Gynecol. 2009;2:146\u201358. https:\/\/doi.org\/10.3909\/riog0086","journal-title":"Rev Obstet Gynecol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06925-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-026-06925-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06925-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:03:06Z","timestamp":1791399786000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-026-06925-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":15,"alternative-id":["6925"],"URL":"https:\/\/doi.org\/10.1007\/s00192-026-06925-9","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"7 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Institutional Review Board of Seoul National University Hospital (No. 2309\u2013106-1467).","order":1,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","label":"Conflicts of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}