Objective      To evaluate and compare the clinical effects and quality-of-life outcomes of transvaginal modified floor reconstruction in combination with uterus conservation or hysterectomy in patients without a prior history of urogenital surgery.       Methods      Medical records of 124 patients

who underwent modified reconstructive pelvic surgery for pelvic organ prolapse (POP) during January 2009 to December 2013

were reviewed retrospectively

and the patients were divided into concomitant hysterectomy group (CH group

n=71) and uterus conservation group (UC group). The preoperative and postoperative effects were evaluated using objective POP quantification (POP-Q)

and the perioperative parameters such as operation time were compared. The therapeutic effect and impact on quality-of-life were analyzed through scores of pelvic floor impact questionnaire-short form 7 (PFIQ-7)

pelvic floor distress inventory short form 20 (PFID-20) and pelvic organ prolapsed-urinary incontinence sexual questionnaire (PISQ).       Results      The average operation time

blood lost amount in operation and surgical cost had statistically significant differences between the CH group and the UC group (P0.05). All the POP-Q parameters and stages were significantly improved (P0.05) in both groups after surgery. The scores of PFIQ-7 and PFDI-20 questionnaires were lower (P0.05) after surgery

but the difference of the postoperative parameters between the UC group and the CH group was not statistically significant (P0.05). Nine patients in the UC group and eight patients in the CH group had the sexual life after surgery

but the difference of questionnaire of PISQ-12 was not statistically significant.       Conclusion      Uterus conservation in modified pelvic floor reconstruction has become a valid option.