Comparison of Anterior Vaginal Sacrospinofixation With Laparoscopic Promontofixation for the Treatment of Anterior and Apical Genitourinary Prolapse

Inclusion Criteria: * The patient must have given their free and informed consent and signed the consent form * The patient must be a member or beneficiary of a health insurance plan * Patient must be available for 12 month follow-up * Patient is ≥50 and \<80 years old * Patient has pelvic prolapse stage 2 or above according to international POP-Q score, concerning the anterior and apical compartments, justifying surgical treatment * Patients not having preoperational stress urinary incontinence or having mild stress urinary incontinence not causing significant functional problems (response \<2 to question 17 of PFDI-20 questionnaire). It is possible that patients with hidden stress urinary incontinence will be recruited Exclusion Criteria: * The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study * The patient is under safeguard of justice or state guardianship * The subject refuses to sign the consent * Patient with communication issues preventing comprehension of information and administration of questionnaires * Pelvic prolapse not affect anterior and apical compartments, regardless of stage * Patient with preoperative dyspareunia (patients with mild sexual discomfort related to prolapse may be included * Patient presents with preoperative stress urinary incontinence responsible of significant functional incapacity (response ≥2 to question 17 of PFDI-20 questionnaire). * Indication for concomitant suburethral sling * Patient with previous history of surgery for stress urinary incontinence * Indication of concomitant perineorrhaphy surgery with or without myorrhaphy (in both groups). * Contra-indication for general anesthetic * Current urinary infection * Current vaginal infection