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The aim of this article was to study the effect of native tissue cardinal/uterosacral ligament repair on overactive bladder (OA and pelvic organ prolapse (POP). Inclusion criteria included decrease of urge symptoms following insertion of a gauze tampon in the posterior fornix of vagina ('simulated operation'. Exclusion criteria included SUI, POP grades 3-4. The surgery consisted of plication of cardinal/uterosacral ligaments. Post-operative assessment was performed at3, 6, 12 and 18 months after surgery and included evaluation by stage of prolaps