Perioperative and Long-Term Anatomical and Subjective Outcomes of Laparoscopic Pectopexy and Sacrospinous Ligament Suspension for POP-Q Stages II–IV Apical Prolapse; Systematic Review

Background: This study aimed to evaluate the cure and postoperative complications rates of a sacrospinous ligament fixation suspension and Laparoscopic Pectopexy used for laparoscopic bilateral vaginal fixation to the iliopectineal ligament. Method:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed in the conduct of this study.We looked for publications published between 2017 and 2024 that evaluated surgical approaches for pelvic organ prolapse in terms of results, complications, and recurrence rates using electronic databases (PubMed, Scopus, and Google Scholar). Results and Conclusion:The included studies examined the results, complications, and recurrence rates of various surgical approaches for POP.LP showed good outcomes, particularly in reducing dyspareunia and maintaining vaginal axis alignment.Compared to VSSLF, LSC and LSH show superior anatomical success, reduced recurrence rates, and higher ratings for sexual function and quality of life.Despite having the greatest operating duration, ASC and LSC both maintained greater anatomical success and decreased recurrence rates as compared to vaginal techniques.While VSSLF maintained faster operational durations and fewer problems, ASC had better anatomical results and lower recurrence rates than both VSC and VSSLF.Compared to VSSLF, laparoscopic pectopexy had comparable anatomical success, but it caused less blood loss and required fewer hospital stays.Although the morphological success rates of laparoscopic pectopexy and VSSLF are similar, laparoscopic pectopexy resulted in lower comorbidities and higher QOL ratings.