Vaginal procedure probably leads to higher prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in awareness of prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in prolapse on examination ‐ Anterior compartment prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in prolapse on examination ‐ Apical compartment prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Vaginal procedure showed no clear difference in intraoperative Visceral injury compared with sacral colpopexy (vault prolapse) (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in prolapse on examination ‐ Posterior compartment prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in bladder function ‐ Stress urinary incontinence compared with alternative vaginal native tissue apical suspension (low certainty).
Vaginal uterosacral colpopexy showed no clear difference in painful intercourse ‐ Dyspareunia compared with alternative vaginal native tissue apical suspension (low certainty).
Absorbable showed no clear difference in awareness of prolapse compared with non absorbable sutures (moderate certainty).
Absorbable showed no clear difference in prolapse on examination ‐ Any recurrent prolapse compared with non absorbable sutures (high certainty).
Absorbable showed no clear difference in visceral injury ‐ Bladder compared with non absorbable sutures (moderate certainty).
Absorbable showed no clear difference in suture/mesh exposure compared with non absorbable sutures (low certainty).
Absorbable showed no clear difference in painful intercourse ‐ Dyspareunia compared with non absorbable sutures (low certainty).
Sacral colpopexy: laparoscopic showed no clear difference in awareness of prolapse: Laparoscopic versus open compared with alternative approach (low certainty).
Vaginal procedure probably leads to higher bladder Function ‐ Stress incontinence compared with sacral colpopexy (vault prolapse) (moderate certainty).
Sacral colpopexy: laparoscopic showed no clear difference in prolapse on examination (Stage 2 or more): Any recurrent prolapse compared with alternative approach (low certainty).
It is very uncertain whether sacral colpopexy: laparoscopic changes any complications (Clavien‐Dindo > 3) compared with alternative approach (very low certainty).
Vaginal procedure showed no clear difference in painful intercourse ‐ Dyspareunia compared with sacral colpopexy (vault prolapse) (low certainty).