title: Five-year outcome of uterus sparing surgery for pelvic organ prolapse repair: a single-center experience.
abstract: OBJECTIVE
  The study aims to report an extended follow-up of our case series of sacrohysteropexy for pelvic organ prolapse (POP).
  
  
  METHODS
  Fifty-five patients with symptomatic POP underwent uterus sparing surgery. All patients were followed up for 1, 3, 6 and 12 months and then annually. Objective success was defined as a well-supported cervix and no vaginal prolapse stage ≥ 2. Subjective success was no prolapse-related symptoms or voiding disorder.
  
  
  RESULTS
  The mean follow-up was 60 ± 34 months. Anterior compartment prolapse (cystocele) stage ≥ 2 was present in four out of 52 patients (7.7%), while posterior compartment prolapse (rectocele) stage ≥ 2 was present in three (5.7%). Voiding symptoms were resolved in 42 out of 45 patients (93.4%) and storage symptoms in 30 out of 36 (83.3%); one patient reported de novo urgency. Sexual activity was maintained in 28 out of 29 patients (95.5%). Four patients showed de novo stress urinary incontinence.
  
  
  CONCLUSIONS
  Our findings support the use of uterus preservation, with significative objective and subjective outcomes in treating POP.
authors.affiliation: Section of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, Perugia, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Costantini
authors.forename: Massimo
authors.initials: M
authors.lastname: Lazzeri
authors.forename: Alessandro
authors.initials: A
authors.lastname: Zucchi
authors.forename: Vittorio
authors.initials: V
authors.lastname: Bini
authors.forename: Luigi
authors.initials: L
authors.lastname: Mearini
authors.forename: Massimo
authors.initials: M
authors.lastname: Porena
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000601:surgery*; D012725:Sexual Behavior / Q000502:physiology; D016896:Treatment Outcome; D014599:Uterus / Q000502:physiology*