{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:17:13Z","timestamp":1782969433932,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,3,21]],"date-time":"2015-03-21T00:00:00Z","timestamp":1426896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate and compare the long\u2010term outcome of sacrospinous ligament fixation (<jats:styled-content style=\"fixed-case\">SSF<\/jats:styled-content>) in combination with various other compartment defect native tissue repairs with hysterectomy or hysteropexy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of 159 patients who underwent surgery for pelvic organ prolapse (<jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>) between <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2004 and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ugust 2008 were reviewed retrospectively. Patients were assessed at baseline and at 5\u2010year postoperative follow\u2010up. <jats:styled-content style=\"fixed-case\">SSF<\/jats:styled-content>, anterior (<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>) and posterior colporrhaphy (<jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content>), both with and without hysterectomy, were performed. Primary outcome was objective cure (POP quantification system [POP\u2010Q] \u22641) and subjective cure (negative response to questions 2 and 3 on Pelvic Organ Prolapse Distress Inventory 6 [<jats:styled-content style=\"fixed-case\">POPDI<\/jats:styled-content>\u20106]). Subanalysis was done on patients who had uterus preserved compared with those with vaginal hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative data were available for 146 patients: 120 in the hysterectomy group and 26 in the hysteropexy group. Mean age, parity, postmenopausal status and mean operating time in the hysterectomy group were significantly higher than in the hysteropexy group. At median follow\u2010up of 86 months, objective cure at overall compartments for all patients was 67.8%, and for subjective cure, this was 64.4%. There was no difference in the adjusted odds ratio for objective and subjective cure rates in both groups, but the hysterectomy group had a significantly lower mean total <jats:styled-content style=\"fixed-case\">POPDI<\/jats:styled-content>\u20106 score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SSF<\/jats:styled-content> plus <jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> have a low reoperation rate despite a moderate success rate at 7\u2010year follow\u2010up. There was no difference in the adjusted objective, subjective success rates and sexual function between sacrospinous hysteropexy and hysterectomy. The hysterectomy group, however, had fewer bothersome prolapse symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12678","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T17:37:25Z","timestamp":1427218645000},"page":"1099-1107","source":"Crossref","is-referenced-by-count":35,"title":["Long\u2010term outcome of native tissue reconstructive vaginal surgery for advanced pelvic organ prolapse at 86 months: Hysterectomy versus hysteropexy"],"prefix":"10.1111","volume":"41","author":[{"given":"Tsia\u2010Shu","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Chang Gung Memorial Hospital Keelung\/Taipei Medical Center  Keelung\/Taipei Taiwan"},{"name":"Division of Urogynecology Department of Obstetrics and Gynecology Linko, Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"},{"name":"Chang Gung University, School of Medicine  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leng Boi","family":"Pue","sequence":"additional","affiliation":[{"name":"Division of Urogynecology Department of Obstetrics and Gynaecology Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology Serdang Hospital  Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai\u2010Ho","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chang Gung Memorial Hospital Keelung\/Taipei Medical Center  Keelung\/Taipei Taiwan"},{"name":"Chang Gung University, School of Medicine  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Ying","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chang Gung Memorial Hospital Keelung\/Taipei Medical Center  Keelung\/Taipei Taiwan"},{"name":"Division of Urogynecology Department of Obstetrics and Gynaecology Chang Gung Memorial Hospital  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiap Loong","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Urogynecology Department of Obstetrics and Gynaecology Chang Gung Memorial Hospital  Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology Kuching General Hospital  Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920050037"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/GCO.0b013e32834ac743","article-title":"Sacrospinous ligament fixation for pelvic organ prolapse in the era of vaginal mesh kits","volume":"23","author":"Yazdanya T","year":"2011","journal-title":"Curr Opin Obstet 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