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These within-group improvements were maintained over the 5-year follow-up and continued despite the increase in surgical failure rates over time. Vaginal surgical repairs of POP are effective and relatively low-risk operations, and the lifetime risk of any primary surgery for POP is She is passionate about helping people to create self-awareness, self-care, and becoming more connected with themselves, others, and their purposes. Statistical Methods Participant characteristics at the start of the parent study were compared between treatment groups for women who enrolled in the extended study. As was seen after 2-year follow-up, anatomic and symptom status of participants was not significantly different between SSLF and ULS at 5 years. She is receiving additional counseling.