{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:07:48Z","timestamp":1774325268767,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the anatomical and functional outcomes of mesh\u2010based and mesh\u2010free laparoscopic uterus\u2010preserving pectopexy in patients with apical pelvic organ prolapse:<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 81 patients who underwent either mesh\u2010based (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200941) or mesh\u2010free (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940) laparoscopic pectopexy between 2021 and 2024. Patients were evaluated for operative time, estimated blood loss, hospital stay, anatomical success based on the POP\u2010Q system, sexual function using the PISQ\u201012 questionnaire, and postoperative complications. Follow\u2010up assessments were conducted at 6\u2009weeks and 1\u2009year for anatomical outcomes (POP\u2010Q) and at 3\u2009months and 1\u2009year for sexual function (PISQ\u201012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both techniques significantly improved POP\u2010Q parameters and PISQ\u201012 scores. The mesh group demonstrated superior apical and posterior support (C, Ap, and Bp points), while the mesh\u2010free group showed longer total vaginal length. Operative time was significantly longer in the mesh\u2010free group. Sexual function improved in both groups, with a greater early improvement in the mesh group, though differences leveled at 1\u2009year. Complication and recurrence rates were low and comparable between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mesh\u2010based and mesh\u2010free pectopexy both offer effective anatomical correction and functional recovery in apical prolapse surgery. Mesh\u2010based techniques provide stronger apical support, while mesh\u2010free approaches may be preferable for patients avoiding synthetic implants. Individualized surgical planning remains essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70246","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:50:27Z","timestamp":1773971427000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Outcomes of Mesh\u2010Based and Mesh\u2010Free Laparoscopic Uterus\u2010Preserving Pectopexy for Apical Prolapse: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6166-5458","authenticated-orcid":false,"given":"Enes Serhat","family":"Coskun","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8516-5493","authenticated-orcid":false,"given":"Havva Betul","family":"Bacak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suleyman","family":"Salman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatma Ketenci","family":"Gencer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul 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of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ecenur","family":"\u00c7eliko\u011flu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Gaziosmanpasa Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tu\u011fba","family":"Salman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Health Sciences Prof. Dr. Cemil Ta\u015fc\u0131o\u011flu City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000057"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2172-1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.4919"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2369-y"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02679-w"},{"key":"e_1_2_13_7_1","unstructured":"FDA \u201cOrders Mesh Manufacturers to Stop Selling Devices for Transvaginal Repair of Pelvic Organ Prolapse\u2014Urogynecologic Surgical Mesh Implants 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