Pelvic organ prolapse, particularly apical prolapse, is a common condition among aging women, and laparoscopic sacrocolpopexy is considered the standard surgical treatment due to its high anatomical success. However, it poses technical challenges and risks related to sacral dissection.
Laparoscopic pectopexy, a newer technique using the iliopectineal ligament for mesh fixation, offers a safer anatomical route with shorter operative time and fewer complications. The previous studies evaluate the sacrocolpopexy and pectopexy are all retrospective. This study is prospective randomized controlled study that adds Comparison on the success rate and learning curve of pectopexy versus sacrocolpopexy .
Patients diagnosed with uterine prolapse with POP-Q stage ≥ III.
Patients diagnosed with vault vaginal prolapse with POP-Q stage ≥ III.
Patients who refuse to participate in the study.
Patients who have isolated anterior or posterior vaginal wall prolapse.
Women who are pregnant or lactating.
Patients with severe comorbidities, including: Serious heart, liver, kidney, or blood diseases or any condition preventing them from tolerating surgery.
Parallel
Laparoscopic Pectopexy
Procedure/Surgeryto evaluate the effectiveness and learning curve of laparoscopic pectopexy in comparison with laparoscopic sacrocolpopexy for the treatment of apical prolapse performed by the same surgeon.
Laparoscopic Sacrocolpopexy
Procedure/SurgeryLaparoscopic Sacrocolpopexy
Pain Assessment
To assess the Pain intensity after the operation and the pain will be evaluated using the Visual Analog Scale (VAS) whereas : 0 is no pain, and 10 is worst pain.
Number of participants treated
Treatment of the female patients whom suffering from Apical Prolapse using laparoscopic pectopexy and laparoscopic sacrocolpopexy
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