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Updated: Mar 19, 2026
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Robot-assisted, Laparoscopic and Transvaginal Surgery for Pelvic Organ Prolapse: a Comparative Retrospective
Amerigo Ferrari1,2, Elena Pisacreta3, Marta Caretto3
1Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology, University of Pisa, Via Roma 67, 56126, Pisa, Italy. amerigo.ferrari@santannapisa.it.
Robot-assisted surgery (RAS) and laparoscopy (LPS) show similar safety for pelvic organ prolapse (POP) repair, though LPS takes longer. Transvaginal surgery (TVS) is quicker but requires longer hospital stays, with no significant differences in complications or reinterventions across methods.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Pelvic organ prolapse (POP) surgical management lacks standardization.
- Comparing different surgical approaches is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare robot-assisted surgery (RAS), laparoscopy (LPS), and transvaginal surgery (TVS) for POP repair.
- Key outcomes evaluated include operating time, hospital stay, complications, and reinterventions.
Main Methods:
- Retrospective analysis of 583 women undergoing POP repair between January 2017 and December 2023.
- Surgical routes compared: RAS/LPS (lateral suspension/sacrocolpopexy) vs. TVS (hysterectomy with POP repair).
- Statistical analysis included adjusted regressions; sub-analysis for specific procedures was performed.
Main Results:
- RAS and LPS demonstrated similar safety and reintervention rates.
- LPS procedures were associated with longer operating times compared to RAS.
- TVS offered shorter operating times but resulted in a longer hospital stay.
- No significant differences in complications or reinterventions were found between surgical groups.
Conclusions:
- RAS and LPS present comparable safety profiles for POP repair.
- LPS requires more operative time than RAS, while TVS is faster but necessitates longer hospitalization.
- Specific procedural sub-analyses indicated comparable outcomes for lateral suspension, but LPS sacrocolpopexy was more time-intensive than RAS.
