Reviewer’s report
Title: 
Sacrospinous ligament fixation: medium and long-term anatomical results, functional and quality of
life results
Version: 
0 
Date: 
14 Jul 2020
Reviewer's report:
The study "Sacrospinous ligament fixation: medium and long-term anatomical results, functional
and quality of life results" by Favre-Inhofer et al., has some strengths and limitations. This study is timely.
However, the manuscript needs major clarification. Furthermore, this manuscript should be revised by an
English expert. In the comments to the authors, I have some suggestions for its improvement. In my
opinion, this manuscript needs to be improved and clarified to be published in BMC Women's Health.
Background:
-Line 54: The authors should consider adding the symptoms associated with pelvic organ prolapse (POP).
-Line 55-56: The prevalence of POP according to the physical examination is around 31.8 to 97%. The
authors should introduce a possible reason for such differences. How the authors can justify the lower
prevalence of the condition by using questionnaires?
- The authors should clarify which is the gold standard method to diagnose POP.
Methods: 
-The authors should clarify if consider important to assessing the vaginal infections in the context of POP.
-POP has been associated with a variety of symptoms: urinary incontinence, irritative or overactive
bladder symptoms, fecal urgency or incontinence, obstructive voiding, sexual disorders, pelvic and
perineal pain, and vaginal bulging (Curr Urol Rep 11(5):338-42. doi: 10.1007/s11934-010-0125-5). The
authors should discuss if all these symptoms were evaluated after SLF by the clinician or only in
questionnaires.
Results:
Figure 1 (Flowchart)- The figure legend is too short and is not well explained.
Table 1 - The authors should indicate in the table the test used in statistical analysis (as a note - add in line
427)
Table 2 - The authors should indicate in the table the test used in statistical analysis (as a note - add in line
430
Table 3 - The authors should indicate in the table the test used in statistical analysis (as a note - add in line
433
Discussion: 
Line 233- The authors concluded that symptoms severity does not reflect the prolapsed stage since there
remain individual variations. So, the authors should explain how these individual variations can be
contemplated in a prospective protocol.
Conclusion:
Some connectors between the phrases are lacking. Included the importance of future research in the field.
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Yes
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
Yes
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Yes
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
Yes
Are you able to assess any statistics in the manuscript or would you recommend an additional
statistical review?
If an additional statistical review is recommended, please specify what aspects require further assessment
in your comments to the editors.
I am able to assess the statistics
Quality of written English
Please indicate the quality of language in the manuscript:
Needs some language corrections before being published
Declaration of competing interests
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organisation that may in any way gain or lose financially from the publication of this manuscript,
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applied for patents relating to the content of the manuscript?
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reply is yes to any, please give details below.
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