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).
It is very uncertain whether vaginal hysterectomy changes awareness of prolapse compared with sacral hysteropexy/cervicopexy (uterine prolapse) (very low certainty).
Perineal showed no clear difference in number of patients with recurrent full‐thickness prolapse compared with abdominal approach (moderate certainty).
Perineal showed no clear difference in number of patients with postoperative complications compared with abdominal approach (moderate certainty).
Perineal showed no clear difference in straining at 3 years post‐op compared with abdominal approach (moderate certainty).