Journal of the European Society for Gynaecological Endoscopy


Mesh-less laparoscopic treatment of apical prolapse

A. Aleksandrov 1,2, A.V. Smith 1,3, B. Rabischong 1, R. Botchorishvili 1

1 Department of Gynecological Surgery, University Hospital Estaing, Clermont- Ferrand, France;
2 Department of Obstetrics and Gynecology, Specialised Hospital for Obstetrics and Gynecology SBAGAL Pr. Dimitar Stamatov Varna, Medical University Varna, Bulgaria;
3 Department of Obstetrics and Gynecology, Higueras Hospital, Conception, Chile.


Prolapse surgery, sacrocolpopexy, pectopexy, treatment without mesh

Published online: Jun 28 2021


The pelvic organ prolapse (POP) is a common gynaecological problem, affecting nearly 50% of women over 40. The sacrocolpopexy using a synthetic mesh is now considered the “gold standard” for management of women with apical prolapse. In April 2019 the FDA placed a ban on the production of transvaginal meshes for prolapse due to late complications. The meshes for abdominal repair of POP are still used, but in future they may also be prohibited. The goal of the following video is to present a mesh-less modification of two techniques used for apical organ prolapse, the sacrocolpopexy and the pectopexy.

Video scan (read QR)

QR code resolving to the video on