Native tissue hysteropexy preserves the uterus but is associated with a higher long-term risk of prolapse retreatment than hysterectomy.
Hysteropexy demonstrates a modestly lower incidence of short-term postoperative complications such as urinary retention and urinary tract infections.
The study provides robust long-term follow-up data with a median of over 8 years for treatment outcomes, aiding clinical decision-making in pelvic organ prolapse management.