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Primary outcome was the evaluation of functional outcomes at\u2009\u2265\u20096-month follow-up; secondary outcomes included anatomical results, peri- and postoperative complications, and predictors of recurrence, postoperative constipation, and anal incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 102 women were included, 60 in the L-VRP group and 42 in the R-VRP group. Anterior sacrocolpopexy was performed in 70.6% of women (72\/102). At a mean of 18-month follow-up, anorectal symptoms rate, constipation [L-VRP (17.7\u2009\u00b1\u20095.5) versus (2.5\u2009\u00b1\u20093.6):\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; R-VRP (15.2\u2009\u00b1\u20095.4) versus (2.6\u2009\u00b1\u20094.6):\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001], and incontinence [L-VRP (11.6\u2009\u00b1\u20094.6) versus (1.1\u2009\u00b1\u20093.1):\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; R-VRP (10.7\u2009\u00b1\u20095.1) versus (1.2\u2009\u00b1\u20092.2):\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001] Wexner scores significantly improved without difference according to the surgical route (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Posterior prolapse relapse was 1.0% (1\/101), without difference between groups [L-VRP (1.7%;1\/60) versus R-VRP (0%;0\/41);\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99]. Other anatomical and functional outcomes did not significantly differ between groups. One woman in L-VRP group (1.0%; 1\/101) required the resection of the mesh for infection of the implanted material. No predictive factors emerged at multivariate analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Minimally invasive VRP was associated with significant short- to mid-term anatomical and functional improvement and a low rate of perioperative complications. No statistically significant differences were observed between laparoscopic and robotic approaches; however, the study was not powered to demonstrate equivalence, and longer follow-up is required to assess durability and delayed mesh-related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>DIPUSVSP-27\u201307-2087 retrospectively registered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03365-x","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T08:33:35Z","timestamp":1780994015000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic and robotic ventral rectopexy for posterior compartment disorders: a multicentric study in a gynecological setting"],"prefix":"10.1007","volume":"30","author":[{"given":"Giovanni","family":"Panico","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Mastrovito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomaso","family":"Melocchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Campagna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Ercoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrystele","family":"Rubod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Cosson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marine","family":"Lallemant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro Ferdinando","family":"Ruffolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"issue":"6","key":"3365_CR1","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1007\/s00192-015-2914-3","volume":"27","author":"R Guzman Rojas","year":"2016","unstructured":"Guzman Rojas R, Kamisan Atan I, Shek KL, Dietz HP (2016) The prevalence of abnormal posterior compartment anatomy and its association with obstructed defecation symptoms in urogynecological patients. 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