{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:32:24Z","timestamp":1790209944212,"version":"4.1.0"},"reference-count":48,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of this paper was to analyze perioperative and long-term outcomes in 114 women undergoing surgery for POP-Q \u2265 2 apical prolapse: sacrospinous ligament colpo\/hysteropexy (SSLF\/SSHP)\u201461; laparoscopic pectopexy (LP)\u201453. Validated questionnaires (PGI-I, ISI, #35 EPIQ, PFIQ-7, PFDI-20) were completed at baseline and follow-up. POP-Q stages II, III and IV were diagnosed in 1 (0.9%), 84 (73.7%) and 29 (25.4%) patients, respectively. Mean operative time and hospital stay were 151.8 \u00b1 36.2 min\/2.6 \u00b1 1.1 days for LP and 69 \u00b1 20.4 min (p &lt; 0.001)\/2.7 \u00b1 1.0 days for SSLF. Severe intraoperative complications occurred in two (1.8%) patients. Mean follow-up was 26.9 \u00b1 12 and 37.3 \u00b1 17.5 months for LP and SSLF, respectively. At follow-up, significant improvement for all POP-Q points was observed in both groups (p &lt; 0.001). Shortening of total vaginal length was found in both groups, but predominantly in SSLF patients (p = 0.01). The sensation of vaginal bulge (EPIQ) was reduced, and total PFDI-20 and PFIQ-7 scores improved (p &lt; 0.04) in both groups. Subjective success was reported by 40 (75.5%) LP and 44 (72.1%) SSLF patients. ISI detected no deterioration in urinary incontinence. PGI-I, PFDI-20, #35 EPIQ, PFIQ-7 and ISI did not differ between the groups. In conclusion both, SSLF and LP for apical prolapse generate good anatomical and subjective outcomes, with protective effect on the anterior compartment observed for LP.<\/jats:p>","DOI":"10.3390\/jcm11082215","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T04:21:28Z","timestamp":1650255688000},"page":"2215","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Perioperative and Long-Term Anatomical and Subjective Outcomes of Laparoscopic Pectopexy and Sacrospinous Ligament Suspension for POP-Q Stages II\u2013IV Apical Prolapse"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-4068","authenticated-orcid":false,"given":"Paulina","family":"Szymczak","sequence":"first","affiliation":[{"name":"Department of Gynecology, Obstetrics and Neonatology, Medical University of Gda\u0144sk, Smoluchowskiego 17, 80-214 Gdansk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5311-3450","authenticated-orcid":false,"given":"Magdalena Emilia","family":"Grzybowska","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Neonatology, Medical University of Gda\u0144sk, Smoluchowskiego 17, 80-214 Gdansk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sambor","family":"Sawicki","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Neonatology, Medical University of Gda\u0144sk, Smoluchowskiego 17, 80-214 Gdansk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7864-666X","authenticated-orcid":false,"given":"Konrad","family":"Futyma","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dariusz Grzegorz","family":"Wydra","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Neonatology, Medical University of Gda\u0144sk, Smoluchowskiego 17, 80-214 Gdansk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"588.e1","DOI":"10.1016\/j.ajog.2019.11.1285","article-title":"Pelvic organ prolapse surgery and quality of life-a nationwide cohort study","volume":"222","author":"Mattsson","year":"2020","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Favre-Inhofer, A., Carbonnel, M., Murtada, R., Revaux, A., Asmar, J., and Ayoubi, J.-M. (2021). Sacrospinous ligament fixation: Medium and long-term anatomical results, functional and quality of life results. BMC Women\u2019s Health, 21.","DOI":"10.1186\/s12905-021-01195-7"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s00192-016-3032-6","article-title":"Native tissue repair for central compartment prolapse: A narrative review","volume":"28","author":"Yohay","year":"2017","journal-title":"Int. Urogynecol. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1007\/s00192-008-0718-4","article-title":"Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy","volume":"19","author":"Jacob","year":"2008","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_5","unstructured":"Aboseif, C., and Liu, P. (2021). Pelvic Organ Prolapse. StatPearls, StatPearls Publishing."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"480.e1","DOI":"10.1016\/j.ajog.2019.05.027","article-title":"The relationship of defecation symptoms and posterior vaginal wall prolapse in women undergoing pelvic organ prolapse surgery","volume":"221","author":"Karjalainen","year":"2019","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1001\/jama.2018.2827","article-title":"NICHD Pelvic Floor Disorders Network. Effect of Uterosacral Ligament Suspension vs Sacrospinous Ligament Fixation with or without Perioperative Behavioral Therapy for Pelvic Organ Vaginal Prolapse on Surgical Outcomes and Prolapse Symptoms at 5 Years in the OPTIMAL Randomized Clinical Trial","volume":"319","author":"Jelovsek","year":"2018","journal-title":"JAMA"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.ejogrb.2019.08.024","article-title":"Late suture site complications of sacrospinous ligament fixation","volume":"242","author":"Hamdy","year":"2019","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.tjog.2012.11.002","article-title":"Modern role of sacrospinous ligament fixation for pelvic organ prolapse surgery\u2014A systemic review","volume":"52","author":"Tseng","year":"2013","journal-title":"Taiwan J. Obstet. Gynecol."},{"key":"ref_10","first-page":"941","article-title":"The surgical treatment of the prolapsed vaginal fundus after uterine extirpation. A contribution on Amreich\u2019s the sacrotuberal vaginal fixation. Die operative Behandlung des prolabierten Scheidengrundes nach Uterusexstirpation. Ein Beitrag zur Vaginaefixatio sacrotuberalis nach Amreich","volume":"27","author":"Richter","year":"1967","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref_11","first-page":"790","article-title":"A new technique of uterine suspension to pectineal ligaments in the management of uterovaginal prolapse","volume":"81","author":"Joshi","year":"1993","journal-title":"Obstet. Gynecol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1007\/s00404-010-1687-7","article-title":"Laparoscopic pectopexy: A new technique of prolapse surgery for obese patients","volume":"284","author":"Banerjee","year":"2011","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s00404-012-2536-7","article-title":"Laparoscopic pectopexy: A randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results","volume":"287","author":"Anapolski","year":"2013","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1089\/end.2014.0413","article-title":"Laparoscopic pectopexy: A prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study","volume":"29","author":"Schiermeier","year":"2015","journal-title":"J. Endourol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1590\/s1677-5538.ibju.2017.0692","article-title":"Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, and laparoscopic pectopexy for apical prolapse","volume":"44","author":"Biler","year":"2018","journal-title":"Int. Braz. J. Urol."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"No\u00e9, G.K., Schiermeier, S., Papathemelis, T., Fuellers, U., Khudyakovd, A., Altmann, H.H., Borowski, S., Morawski, P.P., Gantert, M., and De Vree, B. (2021). Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair. J. Clin. Med., 10.","DOI":"10.3390\/jcm10020217"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Szymczak, P., Grzybowska, M.E., Sawicki, S., and Wydra, D.G. (2021). Laparoscopic Pectopexy-CUSUM Learning Curve and Perioperative Complications Analysis. J. Clin. Med., 10.","DOI":"10.3390\/jcm10051052"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1590\/s1677-5538.ibju.2019.0103","article-title":"Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: A comparative study","volume":"45","author":"Astepe","year":"2019","journal-title":"Int. Braz. J. Urol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association (2020). Joint report on terminology for surgical procedures to treat pelvic organ prolapse. Int. Urogynecol. J., 31, 429\u2013463.","DOI":"10.1007\/s00192-020-04236-1"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/jog.15146","article-title":"Uterine preserving technique in the treatment of pelvic organ prolapse: Laparoscopic pectopexy","volume":"48","author":"Salman","year":"2022","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1111\/jog.14337","article-title":"Pregnancy outcomes after laparoscopic pectopexy surgery: A case series","volume":"46","author":"Bagli","year":"2020","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1007\/s00192-015-2757-y","article-title":"The indication for hysterectomy as a risk factor for subsequent pelvic organ prolapse repair","volume":"26","author":"Lykke","year":"2015","journal-title":"Int. Urogynecol. J."},{"key":"ref_23","unstructured":"(2022, February 17). Available online: https:\/\/www.bsge.org.uk\/news\/nice-consultation-document-mesh-pectopexy\/."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s00192-015-2932-1","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)","volume":"27","author":"Haylen","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","article-title":"The Clavien-Dindo classification of surgical complications: Five-year experience","volume":"250","author":"Clavien","year":"2009","journal-title":"Ann. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"236","DOI":"10.5603\/GP.2021.0046","article-title":"The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians guidelines on the management of non-neurogenic overactive bladder syndrome in women","volume":"92","author":"Grzybowska","year":"2021","journal-title":"Ginekol. Pol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/s00192-009-1069-5","article-title":"Validation of the patient global impression of improvement (PGI-I) for urogenital prolapse","volume":"21","author":"Srikrishna","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/(SICI)1520-6777(2000)19:2<137::AID-NAU4>3.0.CO;2-G","article-title":"A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48-hour pad-weighing tests","volume":"19","author":"Sandvik","year":"2000","journal-title":"Neurourol. Urodyn."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"3177","DOI":"10.1007\/s00192-020-04574-0","article-title":"Translation and validation of the Polish version of the Pelvic Floor Impact Questionnaire short form 7","volume":"32","author":"Bochenska","year":"2021","journal-title":"Int. Urogynecol. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s00192-018-3715-2","article-title":"Validation of the Polish version of the Pelvic Floor Distress Inventory","volume":"30","author":"Grzybowska","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00192-017-3539-5","article-title":"Polish translation and validation of the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)","volume":"30","author":"Grzybowska","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.ejogrb.2019.10.022","article-title":"Prospective international multicenter pectopexy trial: Interim results and findings post surgery","volume":"244","author":"Schiermeier","year":"2020","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1016\/S0002-9378(96)70085-6","article-title":"Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction","volume":"175","author":"Paraiso","year":"1996","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_34","first-page":"239","article-title":"Long-term surgical outcomes of vaginal sacrospinous ligament fixation in women with pelvic organ prolapse","volume":"69","author":"Aksakal","year":"2014","journal-title":"Minerva Chir."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/S0002-9378(98)70245-5","article-title":"Sacrospinous ligament fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse","volume":"179","author":"Colombo","year":"1998","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1007\/s00192-018-3565-y","article-title":"Modified laparoscopic pectopexy: Short-term follow-up and its effects on sexual function and quality of life","volume":"29","author":"Tahaoglu","year":"2018","journal-title":"Int. Urogynecol. J."},{"key":"ref_37","first-page":"673","article-title":"Evisceration of the small intestine through the vagina as a rare complication after laparoscopic pectopexy","volume":"92","author":"Szymczak","year":"2021","journal-title":"Ginekol. Pol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1067\/mob.2003.75","article-title":"Sacrospinous cervicocolpopexy with uterine conservation for uterovaginal prolapse in elderly women: An evolving concept","volume":"188","author":"Hefni","year":"2003","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/0002-9378(95)90264-3","article-title":"Sacrospinous suspension: A local practitioner\u2019s experience","volume":"173","author":"Pasley","year":"1995","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/S0029-7844(96)00337-7","article-title":"Transvaginal repair of vault prolapse: A review","volume":"89","author":"Sze","year":"1997","journal-title":"Obstet. Gynecol."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Greisen, S., Axelsen, S.M., Bek, K.M., Guldberg, R., and Glavind-Kristensen, M. (2021). Fast track sacrospinous ligament fixation: Subjective and objective outcomes at 6 months. BMC Women\u2019s Health, 21.","DOI":"10.1186\/s12905-021-01309-1"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00192-021-04823-w","article-title":"Comparison of the effectiveness of sacrospinous ligament fixation and sacrocolpopexy: A meta-analysis","volume":"33","author":"Zhang","year":"2022","journal-title":"Int. Urogynecol. J."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"25","DOI":"10.14712\/23362936.2021.3","article-title":"Laparoscopic Pectopexy: An Effective Procedure for Pelvic Organ Prolapse with an Evident Improvement on Quality of Life","volume":"122","author":"Kale","year":"2021","journal-title":"Prague Med. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1080\/21681163.2019.1670095","article-title":"A computational study of organ relocation after laparoscopic pectopexy to repair posthysterectomy vaginal vault prolapse","volume":"8","author":"Bhattarai","year":"2020","journal-title":"Comput. Methods Biomech. Biomed. Eng. Imaging Vis."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"102","DOI":"10.5152\/jtgga.2015.15220","article-title":"Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up","volume":"16","author":"Baki","year":"2015","journal-title":"J. Turk. Ger. Gynecol. Assoc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1055\/a-0846-5726","article-title":"Comparison of Unilateral and Bilateral Sacrospinous Ligament Fixation Using Minimally Invasive Anchorage","volume":"79","author":"Salman","year":"2019","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref_47","unstructured":"(2022, February 17). Available online: https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/gtg-46.pdf."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"978","DOI":"10.3906\/sag-2005-117","article-title":"The effect of sacrospinous ligament fixation during vaginal hysterectomy on postoperative de novo stress incontinence occurrence: A prospective study with 2-year follow-up","volume":"50","author":"Kiyak","year":"2020","journal-title":"Turk. J. Med. 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