{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:23:25Z","timestamp":1787235805955,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T00:00:00Z","timestamp":1556755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2019,7]]},"abstract":"\n Objective<\/jats:title>\n Robot\u2010assisted surgery is a recognised treatment for pelvic\u2010organ prolapse. Many of the surgical subgroup outcomes for apical prolapse are reported together, leading to a paucity of homogenous data.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n Prospective observational cohort study (\n NCT<\/jats:styled-content>\n 01598467,\n clinicaltrials.gov<\/jats:ext-link>\n ) assessing outcomes for homogeneous subgroups of robot\u2010assisted apical prolapse surgery.\n <\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Two European tertiary referral hospitals.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n \n Consecutive patients undergoing robot\u2010assisted sacrocolpopexy (\n RASC<\/jats:styled-content>\n ) and supracervical hysterectomy with sacrocervicopexy (\n RSHS<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Anatomical cure (simplified Pelvic Organ Prolapse Quantification,\n sPOPQ<\/jats:styled-content>\n , stage\u00a01), subjective cure (symptoms of bulge), and quality of life (Pelvic Floor Impact Questionnaire,\n PFIQ<\/jats:styled-content>\n \u20107).\n <\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Primary outcome: anatomical and subjective cure. Secondary outcomes: surgical safety and intraoperative variables.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 305 patients were included (\n RASC<\/jats:styled-content>\n n<\/jats:italic>\n \u00a0=\u00a0188;\n RSHS<\/jats:styled-content>\n n<\/jats:italic>\n \u00a0=\u00a0117). Twelve months follow\u2010up was available for 144 (\n RASC<\/jats:styled-content>\n 76.6%) and 109 (\n RSHS<\/jats:styled-content>\n 93.2%) women. Anatomical success of the apical compartment occurred for 91% (\n RASC<\/jats:styled-content>\n ) and in 99% (\n RSHS<\/jats:styled-content>\n ) of the women. In all compartments, the success percentages were 67 and 65%, respectively. Most recurrences were in the anterior compartment [15.7%\n RASC<\/jats:styled-content>\n (symptomatic 12.1%); 22.9%\n RSHS<\/jats:styled-content>\n (symptomatic 4.8%)]. Symptoms of bulge improved from 97.4 to 17.4% (\n P<\/jats:italic>\n \u00a0<\u00a00.0005).\n PFIQ<\/jats:styled-content>\n \u20107 scores improved from 76.7\u00a0\u00b1\u00a062.3 to 13.5\u00a0\u00b1\u00a031.1 (\n P<\/jats:italic>\n \u00a0<\u00a00.0005). The duration of surgery increased significantly for\n RSHS<\/jats:styled-content>\n [183.1\u00a0\u00b1\u00a038.2 versus 145.3\u00a0\u00b1\u00a029.8 (\n P<\/jats:italic>\n \u00a0<\u00a00.0005)]. Intraoperative complications and conversion rates were low (\n RASC<\/jats:styled-content>\n , 5.3 and 4.3%;\n RSHS<\/jats:styled-content>\n , 0.0 and 0.0%). Four severe postoperative complications occurred after\n RASC<\/jats:styled-content>\n (2.1%) and one occurred after\n RSHS<\/jats:styled-content>\n (1.6%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This is the largest reported prospective cohort study on robot\u2010assisted apical prolapse surgery. Both procedures are safe, with durable results.<\/jats:p>\n <\/jats:sec>\n \n Tweetable abstract<\/jats:title>\n European bi\u2010centre trial concludes that robot\u2010assisted surgery is a viable approach to managing apical prolapse.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.15696","type":"journal-article","created":{"date-parts":[[2019,3,29]],"date-time":"2019-03-29T05:52:01Z","timestamp":1553838721000},"page":"1065-1073","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Robot\u2010assisted surgery for the management of apical prolapse: a bi\u2010centre prospective cohort study"],"prefix":"10.1111","volume":"126","author":[{"given":"F","family":"van Zanten","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Meander Medical Centre Amersfoort the Netherlands"},{"name":"Faculty of Science and Technology Institute of Technical Medicine Twente University Enschede the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SE","family":"Schraffordt Koops","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Meander Medical Centre Amersfoort the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0553-1874","authenticated-orcid":false,"given":"OE","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Lenters","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Meander Medical Centre Amersfoort the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"IAMJ","family":"Broeders","sequence":"additional","affiliation":[{"name":"Faculty of Science and Technology Institute of Technical Medicine Twente University 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