Laparoscopic Supracervical Hysterectomy and Sacropexy Versus Hysteropexy Study

Laparoscopic Supracervical Hysterectomy and Sacropexy Compared to Uterus Conserving Hysteropexy: a Randomized Clinical Trial

The purpose of this study is to compare the operative, anatomic functional outcome as well as the subjective outcome of laparoscopic supracervical hysterectomy and sacropexy compared to laparoscopic hysteropexy (conserving the uterus).

The investigators expect that both laparoscopic procedures are equal in regards to operation time, complication rate, anatomic and functional outcome as well as subjective outcome.

Inclusion Criteria:

• Patients older than 18 years
• Symptomatic uterus prolapse (uterus < 300g)
• Patient able to sign the informed consent and to fulfil the follow up visits

Exclusion Criteria:

• Indication: Pathologies of the uterus (postmen. bleeding, high endometrium at ultrasound (>5 mm), abnormal PAP smear in the last 5 years, bleeding anomalies in premenopausal patients

• General medical contraindications to a surgical operation

  • tumor/ malignant disease
  • bacterial infection at time of surgery
  • drug or medication abuse at time or just before surfer

• Disease which would make a correct assessment of the patient impossible (e.g. psychiatric condition)

• Known hypersensitivity to the implanted materials

• Immaturity, inability to answer/understand questions

• Planned pregnancy

• Participation to other studies (drugs or medical techniques) which could influence the results of this study