Peer-reviewed veterinary case report
Robot-assisted pelvic prolapse surgery that saves the uterus in women
By Shimomai W et al.·2026·Department of Gynecology, Japan·View original on Europe PMC →
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Original publication title: Uterine-sparing Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse in Women Aiming for Pregnancy.
Plain-English summary
This study looked at a surgical procedure called uterine-sparing robot-assisted sacrocolpopexy, which is used to treat pelvic organ prolapse (POP) in women who want to get pregnant. The researchers reported on three young women diagnosed with a moderate stage of POP. They had the surgery using a robotic system, which involved placing mesh to support the pelvic organs without affecting the uterus. Importantly, there were no complications during or after the surgery, and none of the women experienced a return of their symptoms in the short term. Overall, this type of surgery appears to be a good option for women with POP who are planning to have children.
Abstract
Pelvic organ prolapse (POP) is frequently encountered in elderly women. However, it can also affect relatively young women of reproductive age. Here, we present three cases of uterine-sparing robot-assisted sacrocolpopexy (RSC) in women aiming for pregnancy. All cases were diagnosed with POP-Q stage III. Utilizing the da Vinci X or Xi robotic surgical system, they underwent uterine-sparing RSC with dual mesh anterior and posterior walls. The anterior wall mesh was not a Y-shaped mesh encircling the cervix; The anterior wall mesh was not a Y-shaped mesh encircling the cervix; rather, it was placed only through the window of the right broad ligament to minimize uterine artery compression caused by the mesh. No perioperative complications or short-term recurrences were noted. Uterine-sparing robotic-assisted sacrocolpopexy represents a valuable surgical option for patients with POP who wish to become pregnant.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41797943