0050-19-RMB CTIL - VNOTES Compared to VH for Vaginal Apex Prolapse

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared With Traditional Vaginal Utero-sacral Ligament Suspension for Vaginal Apex Prolapse

VNOTES (Transvaginal natural orifice transluminal endoscopic surgery) is a relatively new surgery for Hysterectomy and Uterosacral ligament suspension to treat Vaginal prolapse. The investigators wish to run a randomized control trial comparing it to classic Vaginal hysterectomy for the same indication.

The investigators will recruit 60 women with indication for surgery to treat uterine prolapse. 30 women will undergo VNOTES surgery and 30 women will undergo classic vaginal hysterectomy. The investigators will compare outcomes of the surgeries such as surgery time, bleeding and clinical outcomes after 3 and 6 months post operation.

Inclusion Criteria:

• women with vaginal prolapse
• capable of having a surgery - assessed by an anesthesiologist
• women who approve of having the surgery

Exclusion Criteria:

• BMI over 40
• women who have recurrent PID (pelvic inflammatory disease)
• women with oncology records