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Updated: May 6, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Laparoscopic Versus Robot-Assisted Sacrocolpopexy: A Systematic Review and Meta-Analysis.

Amerigo Ferrari^1,2, Michele Borrelli¹, Giaele Moretti²

¹Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology, University of Pisa, Pisa, Italy.

BJOG : an International Journal of Obstetrics and Gynaecology

|March 14, 2026

Summary

Robotic-assisted sacrocolpopexy (RASC) and laparoscopic sacrocolpopexy (LSC) offer similar outcomes for pelvic organ prolapse (POP). RASC may be advantageous in complex cases, showing reduced conversion to laparotomy in observational studies.

Keywords:

laparoscopy meta‐analysis pelvic organ prolapse robotic surgery sacrocolpopexy systematic review

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Published on: June 13, 2025

Area of Science:

Urogynecology
Minimally Invasive Surgery
Surgical Outcomes Research

Background:

Pelvic organ prolapse (POP) significantly impacts women's quality of life.
Sacrocolpopexy is a key surgical intervention for apical or multicompartment POP.
Robotic-assisted sacrocolpopexy (RASC) and laparoscopic sacrocolpopexy (LSC) are established surgical approaches.

Purpose of the Study:

To compare the efficacy, safety, and perioperative outcomes of RASC versus LSC for POP management.
To evaluate anatomical success, complication rates, and patient-reported outcomes between the two surgical methods.

Main Methods:

Systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies.
Searched medical databases (PubMed, Scopus, Web of Science, Embase, Cochrane) up to April 2025.
Assessed risk of bias and meta-analyzed data using appropriate statistical models.

Main Results:

No significant differences in operative time, anatomical outcomes, or patient-reported outcomes between RASC and LSC in RCTs.
Similar intraoperative and postoperative complication rates were observed in RCTs.
Observational studies showed comparable perioperative outcomes, complications, and recurrence, but RASC had lower conversion to laparotomy.

Conclusions:

RASC and LSC yield equivalent anatomical and clinical outcomes with similar morbidity for POP.
Both techniques are effective for sacrocolpopexy.
RASC may offer benefits in complex or technically challenging POP cases, potentially reducing the need for laparotomy conversion.