Mid-Term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse…

Cohort studyInternational urogynecology journal· Jul 2026

Mid-Term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse: A Propensity Score Overlap-Weighted Retrospective Cohort Study.

Yiwei Zhang, Jinbowen Yan, Rusha Yin … Lan Zhu

UrogynecologyCohort studyTreatmentQ2IF 2.0

Laparoscopic and vaginal uterosacral ligament suspension show similar composite success rates

Mid-Term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse: A Propensity Score Overlap-Weighted Retrospective Cohort Study.

Yiwei Zhang … Lan Zhu

International urogynecology journal · Jul 2026 · Q2 in Obstetrics & Gynecology

Background

Comparative data regarding the optimal surgical route for uterosacral ligament suspension (uterosacral ligament suspension) remain limited.

Purpose

This study compared mid-term efficacy and safety between laparoscopic (L-USLS) and vaginal (V-USLS) for apical pelvic organ prolapse (prolapse), utilizing propensity score overlap-weighted (propensity score overlap-weighted) to minimize selection bias.

Methods

This retrospective cohort study included patients with symptomatic stage II or higher prolapse undergoing concurrent hysterectomy with L-USLS (n = 135) or V-USLS (n = 43).

n = 135

Results

success rates were about the same with either surgical approach

86.1%

L-USLS

85.1%

V-USLS

More results

After propensity score overlap-weighted, all baseline covariates were well balanced.

L-USLS demonstrated significantly shorter total operative time.

L-USLS also enabled concomitant adnexal surgery in all patients without additional assistance.

More results

V-USLS required routine intraoperative cystoscopy, and two cases of postoperative ureteral obstruction needing intervention.

“

Conclusion · 1 of 2

L-USLS and V-USLS provide equivalent mid-term outcomes for apical prolapse. L-USLS presents superior perioperative advantages and greater flexibility for concomitant adnexal surgery.

Conclusion · 2 of 2

V-USLS avoids a transabdominal approach but requires routine cystoscopy and carries ureteral obstruction risks.

Mid-Term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse: A Propensity Score Overlap-Weighted Retrospective Cohort Study.

Mid-Term Outcomes of Laparoscopic Versus Vaginal Uterosacral Ligament Suspension for Pelvic Organ Prolapse: A Propensity Score Overlap-Weighted Retrospective Cohort Study.

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