Inclusion Criteria:  Women with symptomatic stage 2 or greater (point C -1 or more pelvic organ prolapse quantification POP-Q) apical prolapse  Exclusion Criteria:  Women not eligible for surgery for medical or anesthesiological reasons Inability to comprehend questionnaires Inability to give informed consent Inability to return for a review Prior laparoscopic prolapse repair Prior vaginal mesh prolapse procedure Severe cardiovascular or respiratory disease Women who don't want uterine preserving surgery Pregnancy Age <18 years, Age >45 years