{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T10:26:36Z","timestamp":1787307996220,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sacrocolpopexy (SCP) is widely considered the gold standard procedure for repairing apical and multi\u2010compartment prolapse. Despite its long\u2010standing and widespread use, significant technical variations persist, yet these differences have not been well\u2010characterized or linked to surgical outcomes. Our study aims to describe contemporary variations in surgical techniques, materials, and approaches among SCP surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a national cross\u2010sectional survey of members of the Society of Urodynamics, Female Pelvic Medicine &amp; Urogenital Reconstruction (SUFU) and the American Urogynecologic Society (AUGS) currently performing SCP. The survey, distributed electronically via REDCap, included sections on demographics, training, practice setting, surgical techniques, and material selection. Case volumes were categorized as low (\u2264\u200920 cases\/year) or high (&gt;\u200920). Descriptive statistics and subgroup comparisons were performed using non\u2010parametric tests with significance defined as\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 281 respondents, 66.9% were female, most aged 31\u201350 years, practicing primarily in academic centers (64.0%). Most completed OB\/GYN (64.7%) or urology (33.5%) residency, with 84.8% having fellowship training. A total of 34.3% of surgeons routinely performed total hysterectomy. Posterior dissection to the perineal body was more common among OB\/GYN\u2010trained surgeons (55.1% vs. 30%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Concomitant mid\u2010urethral slings were performed in \u2265\u200950% of cases by 74.8%, more commonly among OB\/GYN\u2010trained surgeons (83.9% vs. 58%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while staging of slings was higher among urology\u2010trained surgeons. Routine anterior colporrhaphy, posterior colporrhaphy, and perineorrhaphy were still performed concomitantly (&gt;\u200950% of cases in 6.7%, 18.9%, and 21.7%, respectively). Robotic\u2010assisted SCP was common across both low\u2010 and high\u2010volume groups, without a significant difference in routine robotic use. High\u2010volume surgeons (&gt;\u200920 SCPs\/year) (HV) performed fewer open procedures (1.3% vs. 7.6%, OR 0.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018), and were more likely to perform total hysterectomy (84.2% vs. 64.5%, OR 2.94,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and posterior colporrhaphy (22.8% vs. 11.4%, OR 2.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). They also performed more mid\u2010urethral slings (median 90.0% vs. 70.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and extended anterior dissection more often to the distal vagina or trigone (46.5% vs. 26.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Both groups preferred monofilament absorbable sutures at the apex, though LV providers showed higher rates (68.0% vs. 52.6%, OR 1.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033). HV surgeons also frequently used monofilament permanent sutures (43.6% vs. 25.3%, OR 2.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic\u2010assisted SCP with polypropylene mesh dominates current practice, yet notable variation exists in dissection, suture choice, and concomitant procedures, related to training background and case volume. These systematic differences highlight the importance of reporting surgical techniques, and further research is needed to clarify their impact on outcomes and long\u2010term repair durability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70423","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T09:55:46Z","timestamp":1787306146000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evolving Sacrocolpopexy Technique Trends"],"prefix":"10.1002","author":[{"given":"Christina","family":"Sze","sequence":"first","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Martinez","family":"Fernandez","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical School Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Andino","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical School Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2479-7436","authenticated-orcid":false,"given":"Maali LaFrance","family":"Frater","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical School Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Sansone","sequence":"additional","affiliation":[{"name":"Division of Urogynecology Hackensack Meridian \u2013 Jersey Shore University Medical Center Neptune New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8750-8808","authenticated-orcid":false,"given":"Sonia Bhandari","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Baylor Scott &amp; White Health Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8766-7988","authenticated-orcid":false,"given":"Gary E.","family":"Lemack","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy","family":"Goueli","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1495-0448","authenticated-orcid":false,"given":"Maude","family":"Carmel","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","first-page":"171","article-title":"Lifetime Risk of Surgery for Stress Urinary Incontinence or Pelvic Organ Prolapse","volume":"69","author":"Wilkins M. F.","year":"2017","journal-title":"Minerva Ginecologica"},{"issue":"4","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1007\/s11701-023-01541-x","article-title":"Learning Curves and Perioperative Outcomes of Single\u2010Incision Robotic Sacrocolpopexy on Two Different Da Vinci\u00ae Surgical Systems","volume":"17","author":"Oh S.","year":"2023","journal-title":"Journal of Robotic Surgery"},{"issue":"3","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.4103\/0970-1591.128502","article-title":"Robotic Sacrocolpopexy","volume":"30","author":"Danforth T. L.","year":"2014","journal-title":"Indian Journal of Urology: IJU: Journal of the Urological Society of India"},{"issue":"4","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.4293\/JSLS.2024.00023","article-title":"Describing Sacrocolpopexy in Medical Literature: A Proposed Surgical Classification System","volume":"28","author":"Nassar D. T.","year":"2024","journal-title":"Journal of the Society of Laparoendoscopic Surgeons"},{"issue":"7","key":"e_1_2_11_6_1","article-title":"Surgery for Women With Apical Vaginal Prolapse","volume":"7","author":"Maher C.","year":"2023","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_7_1","unstructured":"AUA Sections & Demographics \u2010 American Urological Association.2025 accessed February 2 2025 https:\/\/www.auanet.org\/membership\/who-we-are\/aua-sections-and-demographics."},{"issue":"3","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1097\/AOG.0000000000004901","article-title":"Rate of Mesh Erosion After Sacrocolpopexy With Concurrent Supracervical Compared With Total Hysterectomy: A Systematic Review and Meta\u2010Analysis","volume":"140","author":"Nassif J.","year":"2022","journal-title":"Obstetrics and Gynecology"},{"issue":"1","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s00192-023-05658-3","article-title":"Risk of Postoperative Mesh Exposure Following Sacrocolpopexy With Supracervical Versus Total Concomitant Laparoscopic Hysterectomy","volume":"35","author":"Glass Clark S.","year":"2024","journal-title":"International Urogynecology Journal"},{"issue":"1","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"e165","DOI":"10.1097\/SPV.0000000000000874","article-title":"Predictors for Pelvic Organ Prolapse Recurrence After Sacrocolpopexy: A Matched Case\u2010Control Study","volume":"27","author":"Chang O. H.","year":"2021","journal-title":"Female Pelvic Medicine and Reconstructive Surgery"},{"issue":"10","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1007\/s00192-020-04268-7","article-title":"Does Concurrent Posterior Repair for an Asymptomatic Rectocele Reduce the Risk of Surgical Failure in Patients Undergoing Sacrocolpopexy?","volume":"31","author":"Chang O. H.","year":"2020","journal-title":"International Urogynecology Journal"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70423","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T09:55:49Z","timestamp":1787306149000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":10,"alternative-id":["10.1002\/nau.70423"],"URL":"https:\/\/doi.org\/10.1002\/nau.70423","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]},"assertion":[{"value":"2026-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"nau.70423"}}