Background:  Total Prolift® is a pelvic floor repair system that is performed transvaginally and can be carried out with or without the uterus in situ.
Aim:  To compare surgical outcomes following total Prolift colpopexy (TPC) and total Prolift hysteropexy (TPH).
Methods:  This was a retrospective cohort study of women that underwent TPC (n = 65) or TPH (n = 24). Outcomes were compared between groups using Student’s t‐test, ANCOVA and Fisher’s exact tests (P ≤ 0.05).
Results:  There were no significant differences between TPC and TPH for all peri‐operative variables. Patients were followed 6–12 months after surgery. Post‐operatively, TPC patients had significantly higher pelvic organ prolapse – quantification (POP‐Q) point C measurements (P = 0.05); however, all other POP‐Q measurements were similar, including POP‐Q apical stage of prolapse, with 99% in the TPC group and 92% in the TPH group at stage I or less. Post‐operative mesh erosion, prolapse symptoms, surgical satisfaction, sexual activity and dyspareunia rates did not significantly differ between groups.
Conclusions:  This study showed that TPC and TPH have similar surgical outcomes, except for vaginal vault measurements reflected by POP‐Q point C.