{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:51:57Z","timestamp":1776905517042,"version":"3.51.2"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the short\u2010term anatomical and functional outcomes of transobturator paravaginal repair in women with pelvic organ prolapse (POP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted in 42 patients with stage 3 or higher cystocele and paravaginal defects treated between 2023 and 2024. The procedure was performed using the Siriraj Urogynecology Mesh Kit trocar set without any mesh material. The primary outcome was anatomical success (POP\u2010Q Ba \u2264\u20090) at 6\u2009months postoperatively. Secondary outcomes included perioperative data, complications, and short\u2010term morbidity, which were recorded and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010two patients were enrolled. Mean age was 68.71\u2009\u00b1\u20099.20\u2009years. The anatomical success rate at 6\u2009months was 83.3% for the anterior compartment (95% CI: 68.6\u201393.0) and 92.0% for the apical compartment (95% CI: 83.8\u201399.4) at 6\u2009months postoperatively. Mean ICIQ\u2010VS scores improved from 23.2\u2009\u00b1\u20098.9 to 7.1\u2009\u00b1\u20098.3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and quality\u2010of\u2010life scores improved\u00a0from 7.0\u2009\u00b1\u20092.8 to 1.1\u2009\u00b1\u20092.5 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). POP\u2010Q points Ba and C showed significant improvement (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Higher BMI and advanced POP stage were significantly associated with recurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transobturator paravaginal repair demonstrated favorable short\u2010term anatomical outcomes for both anterior and apical compartments with minimal morbidity. Although these early results are promising, longer follow\u2010up is necessary to confirm long\u2010term durability and recurrence rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70259","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T01:10:58Z","timestamp":1775437858000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Success Rate of Transobturator Paravaginal Repair for Pelvic Organ Prolapse"],"prefix":"10.1111","volume":"52","author":[{"given":"Pichai","family":"Leerasiri","sequence":"first","affiliation":[{"name":"Division of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Department of Obstetrics and Gynecology Faculty of Medicine Siriraj Hospital, Mahidol University  Bangkok 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Pelvic Medicine and Reconstructive Surgery (FPMRS), Department of Obstetrics and Gynecology Faculty of Medicine Siriraj Hospital, Mahidol University  Bangkok 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