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Related Experiment Video

Updated: May 9, 2026

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

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

Published on: October 25, 2024

Why complex pelvic organ prolapse should be approached abdominally.

Elizabeth R Mueller¹

¹Department of Urology and Obstetrics/Gynecology, Loyola University Chicago Stritch School of Medicine, 2160 S. First Avenue, Building 103, Room 1004, Maywood, IL 60153, USA. emuelle@lumc.edu

Current Opinion in Urology

|July 25, 2013

Summary

Minimally invasive abdominal sacrocolpopexy (ASC) offers benefits for uterine prolapse with reduced hospitalization. While robotic surgery has higher initial costs, it can be cost-effective with high usage, and cadaveric fascia lata shows similar outcomes to mesh.

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Last Updated: May 9, 2026

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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System

Published on: September 20, 2018

Area of Science:

Urogynecology
Surgical Innovation
Pelvic Floor Disorders

Background:

Uterine and vaginal vault prolapse are common after hysterectomy.
Abdominal sacrocolpopexy (ASC) is a surgical option for these conditions.

Purpose of the Study:

To review recent clinical trials on abdominal approaches for post-hysterectomy prolapse.
To evaluate outcomes and cost-effectiveness of different ASC techniques.

Main Methods:

Review of recent clinical trials on abdominal sacrocolpopexy.
Comparison of open vs. minimally invasive ASC, including robotic approaches.
Analysis of outcomes, costs, and complications.

Main Results:

Minimally invasive ASC shows reduced hospitalization and potentially lower costs than open ASC.
Robotic ASC can be cost-effective with high procedure volume.
Cadaveric fascia lata offers similar subjective outcomes but decreased anatomic outcomes compared to mesh over 5 years.

Conclusions:

Minimally invasive ASC provides the benefits of open ASC with significantly reduced patient hospitalization.
The evolution of ASC is driven by surgeon-led modifications, not commercial interests.
Careful suture placement during ASC is crucial to avoid spinal structures.