Comparing Laparoscopic Pectopexy Surgery With and Without Mesh After Hysterectomy for Treating Pelvic Organ Prolapse in Women Aged 40 to 80

What this Trial Is About

This research aims to compare two surgical methods for treating genital apical prolapse, a condition where the top of the vagina, uterus, or cervix descends. It focuses on patients who have completed their fertile period and do not want to keep their uterus. The study evaluates laparoscopic pectopexy surgery with and without the use of mesh, a material sometimes linked to complications like mesh erosion, especially in obese patients where surgery is more challenging. Participants will undergo laparoscopic pectopexy surgery after hysterectomy. One group will have the vaginal cuff attached to the pectineal ligament using a non-absorbable suture without mesh, aiming to reduce mesh-related complications. The other group will have the vaginal cuff attached using polypropylene mesh, which is the standard technique. Both surgeries use a standard laparoscopic hysterectomy approach. During the study, patients will have their prolapse stage recorded before surgery and again 12 months after surgery. Quality of life related to prolapse will be assessed using a questionnaire before and one year after the operation. The main outcome measured is the rate of prolapse recurrence 12 months after surgery. Follow-up examinations will be conducted at 12 months post-surgery to evaluate results and safety. Participation lasts at least one year from surgery to follow-up assessment.

Laparoscopic Pectopexy With and Without Mesh Use for Pelvic Organ Prolapse.