Combining registry data with clinical details from a national urogynaecology database, they include vaginal hysterectomy (VH), Manchester-Fothergill procedure (MP) and sacrospinous hysteropexy (SH). The primary outcome for this study was reoperation for apical prolapse, although data for reoperation for all compartments were analysed. Comparing VH to MP, VH was associated with a higher risk of subsequent apical prolapse surgery (HR 4.2, CI: 2.4-7.2), as well as for other compartments.