OPTIMAL Trial Finds Comparable Outcomes for Two Vaginal Prolapse Surgical Repairs

The OPTIMAL trial found that sacrospinous ligament fixation (SSLF) and uterosacral ligament vaginal vault suspension (ULS) were equally safe and effective in treating vaginal prolapse at two years’ follow-up. Adding perioperative behavioral therapy with pelvic floor muscle training into the mix failed to improve either incontinence symptoms or prolapse outcomes.

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