A differential approach to treating apical prolapse via a vaginal route

A differential approach to treating apical prolapse is acquiring high relevance. The article reviews the literature, including randomized trials dedicated to apical prolapse treatment via a vaginal route. Much attention is paid to up-to-date methods for correcting apical prolapse by using native tissues and by applying mesh technologies. Intra-and postoperative complications are described The complex process of choosing a surgical intervention directly depends on the nature and severity of prolapse. Conclusion. It is necessary to take into account the general condition of a woman, her desire to save the uterus, as well as the preferences and capabilities of a surgeon. Knowledge of topographic anatomy, compliance with the implant placement technique, and an individual approach ensure the success of surgical treatment. © A group of authors, 2020