Pelvic floor biomechanical reconstruction for moderate to severe pelvic organ prolapse: two-year outcomes of…

Cohort studyFrontiers in surgery· 2026

Pelvic floor biomechanical reconstruction for moderate to severe pelvic organ prolapse: two-year outcomes of anatomical restoration and urinary continence.

Jihong Shen, Xunguo Yang, Zhenhua Gao … Xingqi Wang

UrogynecologyCohort studyTreatmentQ2IF 1.8

94.8% of patients reported symptoms much or very much improved 2 years after surgery

Pelvic floor biomechanical reconstruction for moderate to severe pelvic organ prolapse: two-year outcomes of anatomical restoration and urinary continence.

Jihong Shen … Xingqi Wang

Frontiers in surgery · 2026

Purpose

To evaluate the anatomical restoration, changes in urinary control function, and safety of pelvic floor biomechanical reconstruction in patients with moderate to severe pelvic organ prolapse (prolapse).

Methods

This retrospective study analyzed the clinical data of 135 patients with POP-Q stage ≥ III who underwent pelvic floor biomechanical reconstruction between January 2022 and December 2023.

n = 135 patients

Results

nearly all patients felt much better two years after surgery

Preoperative

144.6PFDI-2

3 months

52.1PFDI-2

1 year

13.7PFDI-2

2 years

8.1PFDI-2

More results

All POP-Q indicators improved significantly at 3 months, 1 year, and 2 years compared with baseline (all P < 0.001).

PFDI-20 scores decreased from 144.6 ± 44.5 preoperatively to 52.1 ± 21.3 (3 months), 13.7 ± 11.1 (1 year), and 8.1 ± 8.5 (2 years) ( P < 0.001).

Overall postoperative SUI symptom rate was 3.7%.

More results

Prolapse recurrence occurred in 2.2%.

“

Conclusion

Pelvic floor biomechanical reconstruction provides durable anatomical correction with favorable continence outcomes and low recurrence, with manageable morbidity.

Pelvic floor biomechanical reconstruction for moderate to severe pelvic organ prolapse: two-year outcomes of anatomical restoration and urinary continence.

Pelvic floor biomechanical reconstruction for moderate to severe pelvic organ prolapse: two-year outcomes of anatomical restoration and urinary continence.

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