Laparoscopic pectopexy versus sacropexy for apical prolapse correction: The first randomized prospective controlled clinical trial

Introduction: Sacral colpopexy is a well established method of apical prolapse correction. Although this technique allows restoring the physiological axis of the vagina, it also bares some potential risks: An injury to the presacral venous plexus, a long term risk of de novo constipation, difficult surgical conditions in obese patients. We developed pectopexy, an alternative method to avoid the presacral preparation: The vagina or cervix is fixed in a hammock-like manner to both iliopectineal ligaments by the use of a synthetic mesh. Methods: We conducted a randomized prospective clinical trial to compare these…