{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:48:12Z","timestamp":1782452892949,"version":"3.54.5"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":["Int J of Urology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility, safety, and short\u2011term outcomes of fully extraperitoneal robotic sacrohysteropexy (EP\u2011RSH) compared with transperitoneal robotic sacrocolpopexy (RSC) for anterior and apical pelvic organ prolapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective comparative study included women who underwent EP\u2011RSH or RSC for symptomatic pelvic organ prolapse between January 2023 and October 2025 at a high\u2011volume referral center. EP\u2011RSH was performed entirely within the extraperitoneal space without peritoneal entry or Trendelenburg positioning. Eight early EP\u2011RSH cases requiring intraoperative conversion to a transperitoneal approach were excluded from the primary per\u2011protocol analysis. Perioperative, anatomical, recurrence, and functional outcomes were compared. A learning curve analysis was performed using surgeon\u2011specific sequential console time plots with LOESS smoothing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 231 patients were analyzed (EP\u2011RSH,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200984; RSC,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009147). EP\u2011RSH was associated with longer operative and console times (approximately 30\u2009min), whereas blood loss, hospital stay, and major complication rates were comparable. At 12\u2009months, both groups demonstrated significant anatomical improvement with similar subjective, objective, and composite recurrence rates and comparable patient\u2011reported and functional outcomes. No clear time\u2011dependent reduction in console time was observed, and early EP\u2011RSH\u2011to\u2011transperitoneal conversions were confined to the initial surgeon learning phase and excluded from the comparative analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EP\u2011RSH may represent a feasible and safe expert\u2011level alternative to RSC in carefully selected patients. When performed by experienced robotic surgeons, EP\u2011RSH achieved comparable short\u2011term outcomes while avoiding peritoneal entry and Trendelenburg positioning. Further multicenter validation and structured training are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70508","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:47:15Z","timestamp":1780379235000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fully Extraperitoneal Robotic Sacrohysteropexy Compared With Transperitoneal Robotic Sacrocervicopexy for Anterior and Apical Pelvic Organ Prolapse"],"prefix":"10.1111","volume":"33","author":[{"given":"Shingo","family":"Moriyama","sequence":"first","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazue","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Katakura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University Omori Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risako","family":"Kabasawa","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Furuta","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shumon","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2146-8830","authenticated-orcid":false,"given":"Yuki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Inui","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanao","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiji","family":"Fujimori","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Kawashima","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Urology Ageo Central General Hospital  Saitama 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