Laparoscopic Pectopexy versus Vaginal Sacrospinous Ligament Fixation in the Treatment of Apical Prolapse

Objectives: To compare the follow-up results of a sacrospinous ligament fixation (SSLF) technique for laparoscopic bilateral vagina to iliopectineal via PVDF-mesh (laparoscopic pectopexy technique, LP) in terms cure rate and postoperative complications rate. Material methods: This prospective study included 160 patients diagnosed with pelvic organ prolapse stage II–IV according POP-Q system. Eighty-two (51.25%) underwent vaginal seventy-eight (48.75%) procedure. Results: The was high both groups, 95.12% (78 out 82) SSLF group 93.59% (73 78) LP were cured post surgery, leading an overall 151 patients. Pelvic pain present 5.00% all patients, but notably more frequent (7, 8.54%) than (1, 1.28%). Dyspareunia occurred 4.37% slightly frequently (6, 7.32%) 1.28%), without significant difference. Conclusions: procedure has comparably positive conventional Both are effective treatment prolapse, favorable anatomical subjective results, low rates serious complications.