Comparison of Anterior Vaginal Sacrospinofixation With Laparoscopic Promontofixation for the Treatment of Anterior and Apical Genitourinary Prolapse

Exclusion Criteria

• •The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study
• •The patient is under safeguard of justice or state guardianship
• •The subject refuses to sign the consent
• •Patient with communication issues preventing comprehension of information and administration of questionnaires
• •Pelvic prolapse not affect anterior and apical compartments, regardless of stage
• •Patient with preoperative dyspareunia (patients with mild sexual discomfort related to prolapse may be included
• •Patient presents with preoperative stress urinary incontinence responsible of significant functional incapacity (response ≥2 to question 17 of PFDI-20 questionnaire).
• •Indication for concomitant suburethral sling
• •Patient with previous history of surgery for stress urinary incontinence
• •Indication of concomitant perineorrhaphy surgery with or without myorrhaphy (in both groups).
• •Contra-indication for general anesthetic
• •Current urinary infection
• •Current vaginal infection