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Redo SCP 87 surgery nor in the clinical management of the patient. Patients were also asked about the occurrence and timepoint of any complications or interval treatments for pelvic floor disorders since the index surgery. Those patients who could not or did not want to come in person, were asked to return the questionnaires by post. In case of non-response, minimum follow-up audit information was obtained through the national electronical medical record (https://www.ehealth.fgov.be), in which any admission to an affiliated Belgian hospital is registered, or through the general practitioner if the latter was not available. The primary outcome was the occurrence of any intraoperative or early postoperative complication, i.e., within three months after surgery. Intraoperative complications were categorized as either visceral or vascular trauma, an estimated blood loss of more than 500 cc or others. We also report the occurrence of conversions. These were categorized into either a strategic conversion, i.e., when the surgeon, as a precaution, decided to open the abdomen or to proceed vaginally, or a reactive conversion, i.e., as a result of an intra-operative complication which the surgeon felt was better managed through an open abdomen.177 We also considered operation time per patient as a parameter, and report on the number of patients with an operation time beyond the 75th percentile of the primary cohort. Early postoperative complications were ranked according to the Clavien and Dindo classification.178 Herein, we report on Dindo grade II complications or higher. In analogy to previous studies on LSCP and rectopexy, Grade III and IV complications were considered severe, hence clinically relevant.175,179 Secondary outcomes included surgical data, late postoperative complications (beyond three months after surgery), subjective outcomes and anatomical assessment at the last visit, and reinterventions for prolapse recurrence and urinary incontinence. Surgical variables included total operation time, duration of adhesiolysis and estimated perioperative blood loss. Subjective outcomes were measured through the Patient Global Impression of Change (PGIC) score and the following questionnaires validated in Dutch: Urinary Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and Prolapse Quality of Life Questionnaire (P-QOL).66,155,156,180-184 Subjective success was defined as a PGIC score of four or more. Prolapse assessment was reported by the POP-Q system. Anatomical success was defined as POP-Q stage < 2 (Ba, Bp and C < -1 cm). Reinterventions for complications and graft-related complications (GRC) beyond three months after surgery were recorded as late postoperative complications. Mesh complications were categorized using the terminology of the International Continence Society/International Urogynecological Association (ICS/IUGA).33 Statistical analyses were performed with SPSS version 27 for Windows (SPSS Inc, Chicago, IL) and GraphPad Prism 9.0 (GraphPad Software, San Diego, California, USA). Comparison between patients was performed by parametric two sample Student t-test or non-parametric Fisher’s exact

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