Sacrospinous hysteropexy was non-inferior for anatomical recurrence of the apical compartment with bothersome bulge symptoms or repeat surgery ( n = 0 , 0 % ) compared with vaginal hysterectomy with suspension of the uterosacral ligaments ( n = 4 , 4.0 % , difference -3.9 % , 95 % confidence interval for difference -8.6 % to 0.7 % ) .