{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:51:06Z","timestamp":1788483066887,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T00:00:00Z","timestamp":1757289600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to compare short\u2010 and long\u2010term surgical outcomes between robotic sacrocolpopexy (RSC) and laparoscopic sacrocolpopexy (LSC), performed with concomitant total hysterectomy, in patients with symptomatic pelvic organ prolapse (POP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 167 women who underwent RSC (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009113) or LSC (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200954) with hysterectomy for uterine prolapse at Kawasaki Medical University between March 2020 and December 2024. Perioperative parameters, complications (Clavien\u2013Dindo classification), and POP recurrence were assessed. The POP\u2010Q was used for anatomical evaluation. Long\u2010term outcomes such as recurrence, urinary incontinence, and mesh erosion were monitored over a median follow\u2010up of 30 (RSC) and 52.5 (LSC) months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The patients in the RSC group were significantly younger and had a higher incidence of diabetes. RSC had longer operative times (median 175\u2009min vs. 152\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) but comparable blood loss, complication rates, and hospital stay. POP\u2010Q showed greater cervical elevation in the RSC group at one month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The long\u2010term recurrence rate was low and similar between the groups (RSC, 2.7%; LSC, 3.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.71). Mesh erosion, urinary incontinence, and organ prolapse were rare and did not differ significantly between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RSC with concomitant hysterectomy is a safe and effective alternative to LSC with comparable short\u2010 and long\u2010term outcomes. Despite longer operative times, RSC offers anatomical benefits without increasing the risk of postoperative complications or recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70068","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T03:40:54Z","timestamp":1757389254000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of surgical outcomes between robotic and laparoscopic sacrocolpopexy with concomitant total hysterectomy for pelvic organ prolapse: A retrospective cohort study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3984-975X","authenticated-orcid":false,"given":"Kuniaki","family":"Ota","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Medical School  Okayama Japan"},{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  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