This study aims to compare the surgical outcomes, safety profiles, and patient satisfaction between two minimally invasive techniques for pelvic organ prolapse repair: Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) mesh-free sacrocolpopexy and laparoscopic mesh-free sacrocolpopexy. By evaluating perioperative data, complication rates, anatomical and functional outcomes, this trial seeks to determine whether the V-NOTES approach provides comparable or superior results to the traditional laparoscopic technique, without the use of synthetic mesh.
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Change in Pelvic Organ Prolapse Quantification (POP-Q) stage from baseline to 6 months
Timeframe: Baseline and 6 months postoperative
Change in PISQ-12 Score
Timeframe: Baseline and 6 months postoperative
Change in Pelvic Floor Distress Inventory-20 (PFDI-20) Score
Timeframe: Baseline and 6 months postoperative