Uterus-preserving laparoscopic lateral suspension provides durable anatomical and functional success in apical pelvic organ prolapse: Long-term results from a single-center study

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dc.authorid0000-0003-1616-9735
dc.authorid0000-0001-8054-2624
dc.authorid0000-0001-8522-9119
dc.authorid0000-0001-7442-834X
dc.authorid0009-0001-5447-5410
dc.contributor.authorŞahin, Turan
dc.contributor.authorTekin, Arzu Bilge
dc.contributor.authorŞahin, Hanifi
dc.contributor.authorTuğ, Niyazi
dc.contributor.authorPerkyürek, Şahin
dc.contributor.authorDoğan, İlker Orhan
dc.date.accessioned2026-11-09T13:55:53Z
dc.date.available2026-11-09T13:55:53Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractObjectives: To evaluate the long-term anatomical, functional, and patient-reported outcomes of uterus-preserving laparoscopic lateral suspension (LLS) in women with apical pelvic organ prolapse (POP). Material and methods: This retrospective cohort study included 98 women with symptomatic apical POP who underwent uterus-preserving LLS between January 2018 and December 2021 at a single tertiary center. All patients had at least 24 months of follow-up (mean: 40.6 ± 10.8 months). Anatomical outcomes were assessed using the POP-Q system, functional outcomes with POP-SS, P-QOL, M-ISI, and FSFI, and patient satisfaction with the PGI-I scale. The primary endpoint was composite clinical success, defined as anatomical success (POP-Q stage 0–1 in all compartments), absence of reoperation, and a positive PGI-I response. Results: The mean age was 48.1 ± 10.5 years, mean BMI was 27.0 ± 3.5 kg/m², and 42.9% were postmenopausal. Concomitant procedures were performed in 44.9% of cases. At long-term follow-up, significant improvements were observed in all POP-Q points (Ba from 0.6 to –3.4 cm, C from 0.3 to –2.5 cm, and Bp from –1.7 to –3.6 cm; all p < 0.001). POP-SS, P-QOL, and M-ISI scores improved markedly (all p < 0.001). FSFI showed significant improvement in the pain domain. Composite clinical success was achieved in 93.9% of patients, with anatomical success rates of 98.0% (apical), 98.0% (anterior), and 96.9% (posterior). Patient satisfaction was high, with 96.9% reporting “very much better” or “much better” on PGI-I. Reoperation was required in 3.1% of cases. Intraoperative complications included bladder injury (2.0%) and bleeding requiring transfusion (1.0%). Late complications were rare, with mesh exposure in 2.0% and dyspareunia in 3.1%. Conclusions: Uterus-preserving LLS provides durable long-term anatomical and functional success, high patient satisfaction, and low complication rates, representing a safe and effective alternative to sacrocolpopexy in the surgical management of apical POP.
dc.identifier.citationŞahin, T., Tekin, A. B., Şahin, H., Tuğ, N., Perkyürek, Ş., & Doğan, İ. O. (2026). Uterus-preserving laparoscopic lateral suspension provides durable anatomical and functional success in apical pelvic organ prolapse: Long-term results from a single-center study. Ginekologia Polska, 97(9), pp. 705-711. https://doi.org/10.5603/gpl.108825
dc.identifier.doi10.5603/gpl.108825
dc.identifier.endpage711
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue9
dc.identifier.pmidPMID: 42747776
dc.identifier.scopus2-s2.0-105052214442
dc.identifier.scopusqualityQ3
dc.identifier.startpage705
dc.identifier.urihttps://doi.org/10.5603/gpl.108825
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1703
dc.identifier.volume97
dc.identifier.wosWOS:001895366700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorŞahin, Hanifi
dc.institutionauthorid0000-0001-8522-9119
dc.language.isoen
dc.publisherVia Medica
dc.relation.ispartofGinekologia Polska
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPelvic Organ Prolapse
dc.subjectUterus-Preserving Surgery
dc.subjectLaparoscopy
dc.subjectLateral Suspension
dc.titleUterus-preserving laparoscopic lateral suspension provides durable anatomical and functional success in apical pelvic organ prolapse: Long-term results from a single-center study
dc.typeArticle
dspace.entity.typePublication

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