{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:18:04Z","timestamp":1790115484694,"version":"4.0.1"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vaginal natural orifice transluminal endoscopic surgery (vNOTES) represents a minimally invasive uterus-preserving technique for apical prolapse repair. Comparative data with laparoscopic lateral suspension are scarce. This study aimed to evaluate perioperative performance, anatomical correction, and functional outcomes of both approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective cohort, 100 women with symptomatic anterior\u2013apical pelvic organ prolapse (POP-Q\u2009\u2265\u2009II) underwent either vNOTES lateral suspension (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950) or LLS (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950). Perioperative metrics, POP-Q parameters, and validated functional questionnaires (POPDI-6, UDI-6, CRADI-8) were recorded preoperatively and at 3 and 6 months. Complications and recurrence were assessed. Radar visualization was used to illustrate POP-Q approximation relative to expected anatomical contours.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both techniques provided successful anterior\u2013apical correction. Operative time (60.4\u2009\u00b1\u200911.2 vs. 90.7\u2009\u00b1\u20098.4\u2005min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and length of hospital stay (1.32\u2009\u00b1\u20090.59 vs. 1.98\u2009\u00b1\u20090.65 days;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) were significantly shorter with vNOTES. POP-Q measurements favored vNOTES at 6 months for Ba and Bp (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), whereas point C and total vaginal length were comparable. Functional outcomes demonstrated lower POPDI-6 and UDI-6 scores in the vNOTES cohort at both follow-ups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). No mesh exposures occurred. Complication rates were low and did not differ significantly. Radar visualization demonstrated more uniform postoperative approximation in the vNOTES group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both vNOTES and laparoscopic lateral suspension achieved effective uterus-preserving prolapse repair with favorable short-term anatomical and functional results. vNOTES provided faster perioperative recovery and greater functional symptom improvement without compromising safety. Extended follow-up will clarify durability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1797662","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T04:31:55Z","timestamp":1778214715000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Uterine-Sparing vNOTES vs. laparoscopic lateral suspension for pelvic organ prolapse repair: a prospective comparative study of feasibility and early outcomes"],"prefix":"10.3389","volume":"13","author":[{"given":"Abdurrahman","family":"Sengi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences Gazi Ya\u015fargil Training and Research Hospital","place":["Diyarbak\u0131r, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Nuri","family":"Duran","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ezine State Hospital","place":["Canakkale, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May\u0131s Jinda","family":"Pekg\u00fcl","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences Gazi Ya\u015fargil Training and Research Hospital","place":["Diyarbak\u0131r, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurullah","family":"Peker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical Faculty of Dicle University","place":["Diyarbak\u0131r, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.gtc.2021.10.011","article-title":"Pelvic organ prolapse","volume":"51","author":"Collins","year":"2022","journal-title":"Gastroenterol Clin. 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