What do systematic reviews say?

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure probably leads to higher surgery for recurrent prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 2.33 [1.34, 4.04]
  6 studies · 497 participants
  Moderate

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure probably leads to higher awareness of prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 2.31 [1.27, 4.21]
  4 studies · 346 participants
  Moderate

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure probably leads to higher prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 1.87 [1.32, 2.65]
  5 studies · 422 participants
  Moderate

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure showed no clear difference in intraoperative Visceral injury compared with sacral colpopexy (vault prolapse) (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 0.46 [0.13, 1.63]
  7 studies · 625 participants
  Moderate

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure probably leads to higher bladder Function ‐ Stress incontinence compared with sacral colpopexy (vault prolapse) (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 1.86 [1.17, 2.94]
  3 studies · 263 participants
  Moderate

Vaginal procedure vs sacral colpopexy (vault prolapse)

Vaginal procedure showed no clear difference in painful intercourse ‐ Dyspareunia compared with sacral colpopexy (vault prolapse) (low certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 3.44 [0.61, 19.53]
  3 studies · 106 participants
  Low

Vaginal procedure vs sacral colpopexy (vault prolapse)

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  no estimate extracted
  6 studies · 517 participants
  Low

Vaginal procedure vs sacral colpopexy (vault prolapse)

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 188 participants
  Low