Laparoscopic Three-dimensional Versus Two-dimensional Sacral Colpopexy and Paravaginal Repair

Inclusion Criteria: * Symptomatic vaginal vault prolapse (stage 2 or greater point C-1 pelvic organ prolapse quantification \[POP-Q\] or grade 2 or greater Baden-Walker half way system) undergoing laparoscopic sacral colpopexy And/Or * Symptomatic cystocele (stage 2 or greater, point Aa or Ba \> -1 POP-Q or grade 2 or greater Baden-Walker half way system) undergoing laparoscopic paravaginal repair Exclusion Criteria: * Age less than 18 years * Inability to comprehend questionnaires * Inability to give informed consent or to return for review * Vaginal vault prolapse \< stage 2 * Unable to undergo general anesthesia * More than 5 previous laparotomies * Prior sacral colpopexy or vaginal mesh prolapse procedure * Prior surgery involving the retropubic space * Vaginal length less than 6 cm