Comparison of the Effectiveness and Learning Curve of Laparoscopic Pectopexy Versus Laparoscopic Sacrocolpopexy in Treatment of Apical Prolapse

What this Trial Is About

Apical prolapse, a form of pelvic organ prolapse, commonly affects aging women and significantly impacts quality of life. This condition involves the downward displacement of the vaginal apex, uterus, or vaginal vault and is often accompanied by urinary, bowel, and sexual problems. Researchers are comparing two laparoscopic surgical methods, pectopexy and sacrocolpopexy, to evaluate their effectiveness and learning curves for treating apical prolapse. The study compares laparoscopic pectopexy, a newer technique that uses the iliopectineal ligament for mesh fixation and offers a safer anatomical route with fewer complications, against the traditional laparoscopic sacrocolpopexy, which requires sacral dissection and carries risks such as presacral hemorrhage and nerve injury. About 15 women will undergo laparoscopic pectopexy and another 15 women will have laparoscopic sacrocolpopexy. Both groups will have their pelvic organ prolapse stages evaluated before surgery. Participants will be monitored for pain within 24 hours after surgery and the number of participants treated will be tracked over 6 months. The study involves assessments of anatomical success and safety, focusing on operative time, complications, and learning curves for each procedure. The study is sponsored by Ain Shams University and will enroll women aged 40 to 75 years with apical prolapse requiring surgical treatment.

Comparison of the Effectiveness and Learning Curve of Laparoscopic Pectopexy Versus Laparoscopic Sacrocolpopexy