Evidence map›Paper›PMID 40861237›Full record

ArticleFrontiers in medicine2025

Laparoscopic lateral suspension combined with uterosacral ligament folding and shortening versus laparoscopic sacrocolpopexy for the treatment of pelvic organ prolapse: a retrospective cohort study.

Xiangpeng Xiong, Leizhen Xia, Tong Mei, Jialv Huang, Ting Wang, Yun Zhang, Shuang Wang, Ye Luo, Haiping Liu, Liqun Wang and 1 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiangpeng Xiong *Department of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Leizhen Xia *Center for Reproductive Medicine, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Tong Mei *Department of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Jialv HuangCenter for Reproductive Medicine, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Ting WangDepartment of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Yun ZhangDepartment of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Shuang WangDepartment of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Ye LuoDepartment of Ultrasound, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Haiping LiuDepartment of Imaging, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Liqun WangDepartment of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.
Xiaoyan AiDepartment of Gynecology, Jiangxi Maternal and Child Health Hospital, Nanchang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pelvic organ prolapse (POP) significantly impacts women's quality of life, with laparoscopic sacrocolpopexy (LSC) considered the gold standard for treatment. However, LSC carries risks of complications, prompting exploration of alternatives. This study compared the efficacy of Laparoscopic Lateral Suspension (LLS) combined with uterosacral ligament folding and shortening (LLS-ULFS) versus LSC for POP treatment. Overview: A retrospective cohort study included 445 women with POP-Q stage ≥ II (LSC group: n=232; LLS-ULFS group: n=213). Surgical outcomes, complications, and patient-reported outcomes were evaluated over a 2-year follow-up period at Jiangxi Maternal and Child Health Hospital. Results: Both groups achieved high anatomical success rates (LSC vs. LLS-ULFS): apical (96.98% vs. 94.84%), anterior (94.40% vs. 96.24%), and posterior (96.12% vs. 94.37%) compartments (all P>0.05). The LLS-ULFS group demonstrated superior perioperative outcomes: shorter operation time (85 vs. 105 min, P<0.001), reduced blood loss (40 vs. 50 ml, P<0.001), and lower pain scores (VAS: 4 vs. 4, P<0.001). Long-term follow-up showed significantly better patient-reported outcomes in the LLS-ULFS group for PFDI-20, POPDI-6, CRADI-8, and PISQ-12 scores (all P<0.05), indicating improved quality of life and sexual function. Complication rates were comparable (P>0.05). Discussion: LLS-ULFS achieves anatomical success equivalent to LSC while offering advantages in operative efficiency and recovery. The technique's avoidance of presacral dissection likely contributes to reduced pain and complications. Conclusion: LLS-ULFS is a viable alternative to LSC, providing comparable anatomical correction with superior perioperative outcomes and enhanced quality of life. Its efficacy supports broader clinical adoption for POP management.

Indexed as

laparoscopic lateral suspensionlaparoscopic sacrocolpopexypatient-reported outcomespelvic organ prolapseuterosacral ligament folding and shortening

Identifiers

PMID40861237
PMCPMC12370751

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.