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Comparison of Short-Term Outcome between Modified Extraperitoneal Uterosacral Ligament Fixation (MEUSL) and Sacrospinous Ligament Fixation (SSF) for Apical Vaginal Support

Author

Listed:
  • Nurul Hikmah Mat Noh

    (Deparment of Obstetrics Gynaecology, International Islamic University Malaysia, Malaysia)

  • Zalina Nusee

    (Deparment of Obstetrics Gynaecology, International Islamic University Malaysia, Malaysia)

  • Rozihan Ismail

    (Deparment of Obstetrics Gynaecology, Hospital Tengku Ampuan Afzaan, Malaysia)

  • Riduan Mohd Taha

    (Deparment of Obstetrics Gynaecology, Hospital Sultan Haji Ahmad Shah, Malaysia)

Abstract

Prevention of apical prolapse during prolapse surgery is crucial to ensure a good outcome of the surgery. The choice of the best method for apical support remains debatable. This is a study comparing the surgical outcome between modified extraperitoneal uterosacral ligament fixation (MEUSL) and sacrospinous ligament fixation (SSF). This is a case-control study involving 42 patients with stage three and four pelvic organ prolapse (POP) looking into surgical failure, prolapse recurrence, lower urinary tract symptoms (LUTS), and operative complications. The results were analyzed using an independent t-test for normally distributed continuous data and a chi-square test for categorical data. A logistic regression analysis was also performed to predict the outcome. A p-value of

Suggested Citation

  • Nurul Hikmah Mat Noh & Zalina Nusee & Rozihan Ismail & Riduan Mohd Taha, 2025. "Comparison of Short-Term Outcome between Modified Extraperitoneal Uterosacral Ligament Fixation (MEUSL) and Sacrospinous Ligament Fixation (SSF) for Apical Vaginal Support," European Journal of Medical and Health Sciences, European Open Science, vol. 7(2), pages 14-18, March.
    • Handle: RePEc:epw:ejmed0:v:7:y:2025:i:2:id:42269
    DOI: 10.24018/ejmed.2025.7.2.2269
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