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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...

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Related Experiment Video

Updated: May 9, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
03:30

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Why complex pelvic organ prolapse should be repaired vaginally.

Ralph Chesson1, Barry Hallner

  • 1Louisiana State University Health Sciences Center, New Orleans Campus, Department of Obstetrics and Gynecology, Urogynecology Section, Louisiana, USA. rchess@lsuhsc.edu

Current Opinion in Urology
|July 25, 2013
PubMed
Summary

Vaginal surgery is the optimal treatment for pelvic organ prolapse (POP), offering a minimally invasive approach. Despite advancements in robotic surgery, vaginal procedures remain effective and cost-efficient for managing complex POP.

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Related Experiment Videos

Last Updated: May 9, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
03:30

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Area of Science:

  • Urogynecology
  • Minimally Invasive Surgery
  • Pelvic Organ Prolapse (POP) Management

Background:

  • Vaginal surgery is a true minimally invasive option for pelvic organ prolapse (POP).
  • Concerns exist regarding the potential loss of vaginal surgical skills due to the rise of robotic surgery and reduced resident training.
  • Established vaginal procedures offer minimal complications compared to abdominal approaches.

Purpose of the Study:

  • To review various vaginal surgical techniques for complex pelvic organ prolapse (POP).
  • To emphasize the minimally invasive nature and benefits of the vaginal approach in POP management.

Main Methods:

  • Review of existing literature on vaginal surgical techniques for complex POP.
  • Discussion of the advantages and disadvantages of vaginal versus robotic surgery.

Main Results:

  • Limited recent findings specifically on the vaginal approach to complex POP; many studies focus on robotic procedures.
  • Robotic surgery is associated with longer operating times, a learning curve, and significant costs (robot acquisition, maintenance, disposable instruments).
  • Evidence supporting superior effectiveness or safety of robotic surgery for benign gynecological conditions is limited.

Conclusions:

  • Pelvic organ prolapse (POP) is fundamentally a vaginal issue best addressed with vaginal surgery.
  • Numerous well-designed studies support the efficacy of the vaginal approach for primary POP treatment.