{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:11Z","timestamp":1787762051898,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pelvic floor disorders include urinary incontinence, fecal incontinence, and pelvic floor prolapse, which are common complaints in women. Patients that suffer from uterine prolapse could benefit from surgical procedures that stabilize pelvic ligaments. Here, we aimed to compare the high uterosacral and sacrospinous ligament suspension surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This clinical trial was performed in 2019\u20132021 on 64 women with uterine prolapse. Demographic data of the patients, including age, body mass index (BMI), past medical diseases, history of delivery, type of delivery, and duration of hospitalization, were collected. We assessed their urinary symptoms, prolapse degree, and sexual symptoms using the Female Sexual Function Index (FSFI) and Pelvic Floor Disability Index (PFDI-20) questionnaires before surgical interventions. Patients were divided into two groups undergoing high uterosacral and sacrospinous ligament suspension. They were followed up 6 and 12 months after surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients treated with sacrospinous ligament suspension had higher frequencies of surgical complications (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.039), and the most common complication was low back pain (15.6%). The uterine prolapse andC point degree improved significantly in all cases after 6 and 12 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The Pelvic Organ Prolapse Quantifications System (POP-Q) scores improved significantly in both groups 6 and 12 months after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and patients who underwent sacrospinous ligament suspension had significantly lower pain intensity compared to the other group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003). FSFI scores improved significantly in patients treated in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both high uterosacral and sacrospinous ligament suspension techniques significantly improved pain, uterine prolapse, and C point degree.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_168_22","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T07:04:17Z","timestamp":1688367857000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of High Uterosacral and Sacrospinous Ligament Suspension Surgeries for the Treatment of Pelvic Organ Prolapse in Women"],"prefix":"10.4103","volume":"12","author":[{"given":"Maryam","family":"Hajhashemi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aazam","family":"Zafarbakhsh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoo","family":"Movahedi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aryan","family":"Rafieezadeh","sequence":"additional","affiliation":[{"name":"School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behnaz","family":"Sattari Rizi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,6]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.ogc.2019.04.010","article-title":"Pelvic floor disorders","volume":"46","author":"Good","year":"2019","journal-title":"Obstet Gynecol Clin"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ogc.2015.10.008","article-title":"The epidemiology of pelvic floor disorders and childbirth: An update","volume":"43","author":"Hallock","year":"2016","journal-title":"Obstet Gynecol Clin"},{"key":"R3-20240830","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1001\/jama.2018.18315","article-title":"Association of delivery mode with pelvic floor disorders after childbirth","volume":"320","author":"Blomquist","year":"2018","journal-title":"JAMA"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jviscsurg.2020.10.001","article-title":"Surgical management of the rectocele\u2013an update","volume":"158","author":"Aubert","year":"2021","journal-title":"J Vis Surg"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"i3853","DOI":"10.1136\/bmj.i3853","article-title":"Pelvic organ prolapse","volume":"354","author":"Barber","year":"2016","journal-title":"BMJ"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1590\/s1677-5538.ibju.2018.0581","article-title":"Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse","volume":"46","author":"Weintraub","year":"2019","journal-title":"Int Braz J Urol"},{"key":"R7-20240830","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1002\/uog.15881","article-title":"Assessment of pelvic organ prolapse: A review","volume":"48","author":"Shek","year":"2016","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R8-20240830","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.jmig.2016.10.001","article-title":"Incidence and risk factors for pelvic pain after mesh implant surgery for the treatment of pelvic floor disorders","volume":"24","author":"Geller","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"R9-20240830","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ejogrb.2017.04.036","article-title":"What is to blame for postnatal pelvic floor dysfunction in primiparous women\u2014pre-pregnancy or intrapartum risk factors?","volume":"214","author":"Durnea","year":"2017","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R10-20240830","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.12659\/MSM.896331","article-title":"Obesity and pelvic floor disorders: A review of the literature","volume":"22","author":"Pomian","year":"2016","journal-title":"Med Sci Monit"},{"key":"R11-20240830","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.bpobgyn.2018.05.004","article-title":"Breaking news in the prediction of pelvic floor disorders","volume":"54","author":"Milsom","year":"2019","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R12-20240830","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.ajog.2017.10.014","article-title":"Predicting risk of pelvic floor disorders 12 and 20 years after delivery","volume":"218","author":"Jelovsek","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"R13-20240830","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41598-019-38759-5","article-title":"Impact of gynecologic cancer on pelvic floor disorder symptoms and quality of life: An observational study","volume":"9","author":"Neron","year":"2019","journal-title":"Sci Rep"},{"key":"R14-20240830","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1007\/s00192-018-3600-z","article-title":"Vaginal hysterectomy with apical fixation and anterior vaginal wall repair for prolapse: Surgical technique and medium-term results","volume":"29","author":"Marschke","year":"2018","journal-title":"Int Urogynecol J"},{"key":"R15-20240830","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s00192-016-3016-6","article-title":"Modified McCall culdoplasty versus Shull suspension in pelvic prolapse primary repair: A retrospective study","volume":"28","author":"Spelzini","year":"2017","journal-title":"Int Urogynecol J"},{"key":"R16-20240830","doi-asserted-by":"crossref","first-page":"101905","DOI":"10.1016\/j.jogoh.2020.101905","article-title":"Comparison of two natural tissue repair-based surgical techniques; sacrospinous fixation and uterosacral ligament suspension for pelvic organ prolapse treatment","volume":"50","author":"Yilmaz","year":"2021","journal-title":"J Gynecol Obstet and Hum Reprod"},{"key":"R17-20240830","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.ejogrb.2021.03.035","article-title":"Quality of life recovery after laparoscopic high uterosacral ligament suspension: A single centre observational study","volume":"260","author":"Panico","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R18-20240830","first-page":"84","article-title":"Surgical cure of chronic pelvic pain, associated bladder and bowel symptoms by posterior sling in 198 patients validates the Pescatori Iceberg principle of pelvic symptom co-occurrence","volume":"36","author":"Goeschen","year":"2017","journal-title":"Pelviperineology"},{"key":"R19-20240830","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.mpsur.2021.04.002","article-title":"Clinically applied anatomy of the pelvis","volume":"39","author":"Bazira","year":"2021","journal-title":"Surgery (Oxford)."},{"key":"R20-20240830","doi-asserted-by":"crossref","first-page":"216","DOI":"10.12891\/ceog2074.2016","article-title":"Unilateral sacrospinous ligament fixation (USLF) with a mesh stabilizing anchor set: Clinical outcome and impact on quality of life","volume":"43","author":"Karacaoglu","year":"2021","journal-title":"Clin Exp Obstet Gynecol"},{"key":"R21-20240830","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s10143-021-01625-y","article-title":"Ligaments stabilizing the sacrum and sacroiliac joint: A comprehensive review","volume":"45","author":"Ashby","year":"2022","journal-title":"Neurosurg Rev"},{"key":"R22-20240830","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1111\/luts.12392","article-title":"Transperineal pelvic floor ultrasound for analyzing the outcomes of pelvic floor surgery for the treatment of anterior compartment prolapse: A comparative study of transvaginal mesh and native-tissue repair","volume":"13","author":"Liu","year":"2021","journal-title":"Low Urin Tract Symptoms"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_168_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:11:31Z","timestamp":1787760691000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_168_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_168_22","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2022-05-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}