Long-Term Comparison of Patient-Reported Outcomes Following Six Surgical Procedures for Apical Suspension

The authors aimed to evaluate long-term patient-reported outcomes following six different surgical procedures for first-time vaginal vault suspension (VVS) in women with apical prolapse. Their findings indicated that sacrocolpopexy (SCP) resulted in a lower symptom burden compared to other procedures, while sacrospinous ligament fixation with graft and ipsilateral uterosacral ligament suspension were associated with higher symptom burdens in specific areas. These results highlight the varying effectiveness of surgical options, although the authors caution that confounding factors may influence the outcomes.