Comparison of 2 Transvaginal Surgical Approaches and Perioperative Behavioral Therapy for Apical Vaginal Prolapse

Abstract

Barber et al compare outcomes between Sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) and perioperative behavioral therapy with pelvic floor muscle training (BPMT) and usual care in women undergoing surgery for vaginal prolapse and stress urinary incontinence. Two years after vaginal surgery for prolapse and stress urinary incontinence, neither ULS nor SSLF was significantly superior to the other for anatomic, functional, or adverse event outcomes. Perioperative BPMT did not improve urinary symptoms at 6 months or prolapse outcomes at 2 years.