Schulten SFM, et al. - In this observational follow-up of SAVE U (sacrospinous fixation vs vaginal hysterectomy in treatment of uterine prolapse ≥ 2) randomised controlled trial, researchers assessed the efficacy and success of uterus preserving sacrospinous hysteropexy as an alternative to vaginal hysterectomy with uterosacral ligament suspension five years after surgery in the surgical treatment of uterine prolapse. Between November 27, 2009, and March 12, 2012, 208 women were randomly assigned to sacrospinous hysteropexy (n = 103) or vaginal hysterectomy with uterosacral ligament suspension (n = 105). According to findings, significantly fewer anatomical recurrences of the apical compartment with bothersome bulge symptoms or repeat surgery were discovered after sacrospinous hysteropexy vs vaginal hysterectomy with uterosacral ligament suspension after five years of follow-up. A higher proportion of women had a composite success outcome after hysteropexy. Time-to-event analysis did not show any differences between the procedures in outcomes.