Data collection
RECURRENCE, VAGINA
All patients from the initial SALTO trial were sent a letter to ask for participation in this observational follow-up study. When they failed to respond, they were called and asked to participate. All participants gave new informed consent to participate in the long-term follow-up trial. They were asked to fill in various Dutch validated questionnaires and were invited to visit an outpatient clinic to undergo pelvic examination. The observer was an independent researcher, gynecologist or resident who had not performed the surgery and was trained in the POP-Q examination [Disease-specific quality of life was tested with the UDI [Bothersome bulge symptoms were measured using the UDI. A positive answer to any of the following questions is scored as a subjective recurrence: “Do you experience a sensation of bulging or protrusion from the vagina?” and “Do you have a bulge or something protruding that you can see in the vagina?”, in combination with a response “moderately bothersome” or “greatly bothersome” to the question “how much does this bother you?”