{"id":"https://openalex.org/W7222916447","doi":"https://doi.org/10.3389/fsurg.2026.1934636","title":"Postoperative vaginal anatomy and dyspareunia after vNOTES hysterectomy without apical suspension: a comparative study","display_name":"Postoperative vaginal anatomy and dyspareunia after vNOTES hysterectomy without apical suspension: a comparative study","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222916447","doi":"https://doi.org/10.3389/fsurg.2026.1934636","pmid":"https://pubmed.ncbi.nlm.nih.gov/42973622","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13724623"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1934636","doi":"https://doi.org/10.3389/fsurg.2026.1934636","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1934636","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1934636/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1934636/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051747113","display_name":"\u015eeyhmus Tun\u00e7","orcid":"https://orcid.org/0000-0002-7095-9482","observed_orcids":["https://orcid.org/0000-0002-7095-9482"]},"institutions":[{"id":"https://openalex.org/I4210132607","display_name":"Diyarbak\u0131r Gazi Ya\u015fargil E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/03f2jcq85","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210132607"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Seyhmus Tunc","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital","institution_ids":["https://openalex.org/I4210132607"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115954372","display_name":"Kevser Arkan","orcid":"https://orcid.org/0009-0007-5300-6536","observed_orcids":["https://orcid.org/0009-0007-5300-6536"]},"institutions":[{"id":"https://openalex.org/I4210132607","display_name":"Diyarbak\u0131r Gazi Ya\u015fargil E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/03f2jcq85","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210132607"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Kevser Arkan","raw_affiliation_strings":["Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital","institution_ids":["https://openalex.org/I4210132607"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106609116","display_name":"H\u00fcseyin Kayaalp","orcid":"https://orcid.org/0009-0001-8372-0518","observed_orcids":["https://orcid.org/0009-0001-8372-0518"]},"institutions":[{"id":"https://openalex.org/I4399598363","display_name":"Ankara Bilkent City Hospital","ror":"https://ror.org/033fqnp11","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4399598363"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Huseyin Kayaalp","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Perinatology Clinic, Health Sciences University Ankara Bilkent City Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Perinatology Clinic, Health Sciences University Ankara Bilkent City Hospital","institution_ids":["https://openalex.org/I4399598363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115954375","display_name":"Ali Deniz Erkmen","orcid":"https://orcid.org/0009-0004-2137-2986","observed_orcids":["https://orcid.org/0009-0004-2137-2986"]},"institutions":[{"id":"https://openalex.org/I4210132607","display_name":"Diyarbak\u0131r Gazi Ya\u015fargil E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/03f2jcq85","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210132607"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ali Deniz Erkmen","raw_affiliation_strings":["Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital","institution_ids":["https://openalex.org/I4210132607"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118178309","display_name":"Gul Cavusoglu Colak","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132607","display_name":"Diyarbak\u0131r Gazi Ya\u015fargil E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/03f2jcq85","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210132607"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Gul Cavusoglu Colak","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital","institution_ids":["https://openalex.org/I4210132607"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014964395","display_name":"Sedat Akg\u00f6l","orcid":"https://orcid.org/0000-0001-8609-3049","observed_orcids":["https://orcid.org/0000-0001-8609-3049"]},"institutions":[{"id":"https://openalex.org/I4210132607","display_name":"Diyarbak\u0131r Gazi Ya\u015fargil E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/03f2jcq85","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210132607"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Sedat Akg\u00f6l","raw_affiliation_strings":["Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Diyarbakir Gazi Yasargil Research and Training Hospital","institution_ids":["https://openalex.org/I4210132607"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5051747113"],"corresponding_institution_ids":["https://openalex.org/I4210132607"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83446769,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1934636","last_page":"1934636"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.6366999745368958,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.6366999745368958,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.18140000104904175,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.11620000004768372,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vaginal-length","display_name":"vaginal length","score":0.4519999921321869},{"id":"https://openalex.org/keywords/dyspareunia","display_name":"dyspareunia","score":0.9139999747276306},{"id":"https://openalex.org/keywords/sexual-function","display_name":"sexual function","score":0.7369999885559082},{"id":"https://openalex.org/keywords/vnotes-hysterectomy","display_name":"vNOTES hysterectomy","score":0.8240000009536743},{"id":"https://openalex.org/keywords/total-laparoscopic-hysterectomy","display_name":"total laparoscopic hysterectomy","score":0.9089999794960022},{"id":"https://openalex.org/keywords/total-abdominal-hysterectomy","display_name":"total abdominal hysterectomy","score":0.996999979019165},{"id":"https://openalex.org/keywords/apical-suspension","display_name":"apical suspension","score":0.6930000185966492},{"id":"https://openalex.org/keywords/benign-hysterectomy","display_name":"benign hysterectomy","score":0.6019999980926514},{"id":"https://openalex.org/keywords/minimally-invasive-gynecologic-surgery","display_name":"minimally invasive gynecologic surgery","score":0.7609999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9649999737739563},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.7526999711990356},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.7423999905586243},{"id":"https://openalex.org/C2775871022","wikidata":"https://www.wikidata.org/wiki/Q7458776","display_name":"Sexual function","level":2,"score":0.6917999982833862},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.567799985408783},{"id":"https://openalex.org/C2777744392","wikidata":"https://www.wikidata.org/wiki/Q5880","display_name":"Vagina","level":2,"score":0.545799970626831},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5296000242233276},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.4968000054359436},{"id":"https://openalex.org/C3019467916","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Abdominal hysterectomy","level":3,"score":0.4620000123977661},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.3693999946117401},{"id":"https://openalex.org/C2776140610","wikidata":"https://www.wikidata.org/wiki/Q1547362","display_name":"Pelvic cavity","level":2,"score":0.3580000102519989},{"id":"https://openalex.org/C2778093883","wikidata":"https://www.wikidata.org/wiki/Q1137463","display_name":"Sexual dysfunction","level":2,"score":0.32749998569488525},{"id":"https://openalex.org/C2776017198","wikidata":"https://www.wikidata.org/wiki/Q2963982","display_name":"Gynecological surgery","level":2,"score":0.3151000142097473},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.30649998784065247},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.30550000071525574},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.30239999294281006},{"id":"https://openalex.org/C3017593049","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Laparoscopic hysterectomy","level":3,"score":0.2913999855518341},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C2777700855","wikidata":"https://www.wikidata.org/wiki/Q18211693","display_name":"Vaginal disease","level":3,"score":0.27300000190734863},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.27250000834465027},{"id":"https://openalex.org/C2778643591","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Minimally invasive procedures","level":2,"score":0.26910001039505005},{"id":"https://openalex.org/C2778888092","wikidata":"https://www.wikidata.org/wiki/Q180777","display_name":"Uterine prolapse","level":2,"score":0.2603999972343445},{"id":"https://openalex.org/C2781244320","wikidata":"https://www.wikidata.org/wiki/Q813683","display_name":"Pelvic floor","level":2,"score":0.2549000084400177},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.25110000371932983}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fsurg.2026.1934636","doi":"https://doi.org/10.3389/fsurg.2026.1934636","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1934636","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1934636/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13724623","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724623/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724623/pdf/fsurg-13-1934636.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Surg","raw_type":"Text"},{"id":"pmid:42973622","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42973622","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:3a8f60d40b764141a1bcddc5b196a66e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/3a8f60d40b764141a1bcddc5b196a66e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1934636","doi":"https://doi.org/10.3389/fsurg.2026.1934636","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1934636","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1934636/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222916447.pdf","grobid_xml":"https://content.openalex.org/works/W7222916447.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1965607024","https://openalex.org/W1977242055","https://openalex.org/W2060089103","https://openalex.org/W2112997260","https://openalex.org/W2120263268","https://openalex.org/W2151364172","https://openalex.org/W2969517110","https://openalex.org/W3077113355","https://openalex.org/W3112817504","https://openalex.org/W3132332281","https://openalex.org/W3154188154","https://openalex.org/W3193868270","https://openalex.org/W4224021962","https://openalex.org/W4310239694","https://openalex.org/W4322720263","https://openalex.org/W4386254702","https://openalex.org/W4407694223","https://openalex.org/W4409312917","https://openalex.org/W4417035377"],"related_works":["https://openalex.org/W7117785401","https://openalex.org/W7213629135","https://openalex.org/W7204192251","https://openalex.org/W7212190929","https://openalex.org/W7223170391","https://openalex.org/W7171839151","https://openalex.org/W4409312917","https://openalex.org/W4417118597","https://openalex.org/W7165551453","https://openalex.org/W7160558160"],"abstract_inverted_index":{"Objective":[0],"This":[1,30],"study":[2,33],"compared":[3,159],"postoperative":[4,248],"vaginal":[5,103,147,249,266],"length,":[6,267],"apical":[7,27,91,107,260,271,278,286],"support,":[8,108],"dyspareunia,":[9],"and":[10,17,49,75,106,133,167,201,216,227,251,256,273,294],"sexual":[11],"function":[12,123],"outcomes":[13,101,291],"among":[14],"vNOTES,":[15],"laparoscopic,":[16],"abdominal":[18,77],"hysterectomy":[19,42,70,78],"in":[20,151,185,194,214,231,247],"patients":[21,87],"who":[22,40],"did":[23],"not":[24,281],"undergo":[25],"concomitant":[26,90,285],"suspension.":[28],"Methods":[29],"retrospective":[31],"comparative":[32],"included":[34,86],"140":[35],"women":[36],"aged":[37],"40\u201355":[38],"years":[39],"underwent":[41],"for":[43],"benign":[44],"indications":[45],"between":[46],"June":[47,50],"2018":[48],"2024.":[51],"Patients":[52],"were":[53,102,219],"allocated":[54],"to":[55,59],"three":[56],"groups":[57,173,207],"according":[58],"the":[60,85,94,111,127,152,161,179,186,195,232],"surgical":[61,241],"approach:":[62],"vNOTES":[63,153,187,233,258],"(":[64,174,208,235],"n":[65,72,80],"=":[66,73,81],"60),":[67],"total":[68,76],"laparoscopic":[69],"(TLH;":[71],"40),":[74],"(TAH;":[79],"40).":[82],"None":[83],"of":[84,96],"had":[88],"undergone":[89],"suspension":[92,261,279],"at":[93,118,221],"time":[95],"hysterectomy.":[97],"The":[98,240],"primary":[99],"anatomical":[100],"length":[104,148],"(VL)":[105],"assessed":[109,125],"using":[110,126,138],"Pelvic":[112],"Organ":[113],"Prolapse":[114],"Quantification":[115],"(POP-Q)":[116],"C-point,":[117],"6":[119,222],"months":[120],"postoperatively.":[121],"Sexual":[122,129],"was":[124,136,149,181,243,262,280],"Female":[128],"Function":[130],"Index":[131],"(FSFI),":[132],"dyspareunia":[134,217,229,275],"severity":[135],"evaluated":[137],"a":[139,268],"10-cm":[140],"visual":[141],"analog":[142],"scale":[143],"(VAS).":[144],"Results":[145],"Postoperative":[146],"shortest":[150],"group":[154,188,234],"(7.2":[155],"\u00b1":[156,164,170,190,198,204],"0.6":[157],"cm),":[158],"with":[160,224,245,254,264],"TLH":[162,196,255],"(7.9":[163],"0.7":[165],"cm)":[166,172,192,200,206],"TAH":[168,202],"(8.4":[169],"0.8":[171],"p":[175,209,236],"<":[176,210,237],"0.001).":[177,211,238],"Similarly,":[178],"C-point":[180],"located":[182],"more":[183,269],"caudally":[184],"(\u22124.5":[189],"1.0":[191,205],"than":[193],"(\u22126.1":[197],"0.9":[199],"(\u22126.8":[203],"Significant":[212],"differences":[213,246],"FSFI":[215,226],"scores":[218,230],"observed":[220],"months,":[223],"lower":[225],"higher":[228,274],"Conclusion":[239],"approach":[242],"associated":[244,263],"anatomy":[250],"dyspareunia.":[252],"Compared":[253],"TAH,":[257],"without":[259],"shorter":[265],"caudal":[270],"position,":[272],"scores.":[276],"Because":[277],"directly":[282],"evaluated,":[283],"whether":[284],"support":[287],"would":[288],"modify":[289],"these":[290],"remains":[292],"unknown":[293],"warrants":[295],"prospective":[296],"investigation.":[297]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-10-20T00:00:00"}