{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:05:21Z","timestamp":1779771921660,"version":"3.53.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"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>\n                      Stress urinary incontinence (SUI) frequently coexists with pelvic organ prolapse (POP). Advanced prolapse may mask SUI, which can also develop\n                      <jats:italic>de novo<\/jats:italic>\n                      after prolapse reduction. Current management is based on standardized clinical evaluation using IUGA\/ICS terminology and the POP-Q system, integrated with functional imaging such as transperineal ultrasound and dynamic pelvic floor MRI, including MR defecography when indicated. These tools allow accurate assessment of multicompartment prolapse and urethro-cervical mobility. This study describes a robot-assisted anterior abdomino-vaginal mesh suspension (AAVMS), revisiting a historical abdomino-vaginal mesh concept with modern robotic techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>From January 2024 to January 2025, sixteen women aged 55\u201365 years with anterior compartment POP and symptomatic SUI underwent robot-assisted AAVMS and were followed for 12 months. The primary endpoint was patient-reported resolution of SUI at 12 months. Secondary endpoints included perioperative outcomes, adverse events, POP-Q changes, and patient-reported quality of life (P-QOL) and sexual function (PISQ-12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Operative time ranged from 50 to 90\u2005min. Urinary catheter removal occurred on postoperative day 3, and discharge on days 8\u201310. At 6 months, 8\/16 patients reported complete continence; this increased to 12\/16 at 8 months and 15\/16 at 12 months. One patient had persistent SUI. No intraoperative or postoperative complications or mesh-related adverse events were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robot-assisted AAVMS was feasible and associated with progressive improvement in patient-reported continence over 12 months, with a favorable safety profile. Larger comparative studies with standardized objective endpoints are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1825876","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:40:30Z","timestamp":1779770430000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Robot-assisted anterior abdomino-vaginal mesh suspension for stress urinary incontinence associated with anterior compartment pelvic organ prolapse: technique, imaging workflow, and 12-month pilot outcomes"],"prefix":"10.3389","volume":"13","author":[{"given":"Paolo","family":"Meloni","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Unit, Imperia Hospital, ASL1 Imperiese","place":["Imperia, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Izzo","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Universit\u00e0 Degli Studi Della Campania \u201cL.Vanvitelli\u201d","place":["Naples, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Vigliercio","sequence":"additional","affiliation":[{"name":"Specialist Clinic for Gynecology and Obstetrics, ASL1 Imperiese","place":["Imperia, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terenzia","family":"Simari","sequence":"additional","affiliation":[{"name":"Ambulatorio Specialistico Ginecologia Ostetricia, ASL 1 Imperiese","place":["Diano Marina, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Izzo","sequence":"additional","affiliation":[{"name":"\"Pietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"De Intinis","sequence":"additional","affiliation":[{"name":"\"Pietro Valdoni\u201d Department of Surgery, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Translational and Precision Medicine, Nephrology Unit, Policlinico \u201cUmberto I\u201d, \u201cSapienza\u201d University of Rome","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Asnong","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Unit, Imperia Hospital, ASL1 Imperiese","place":["Imperia, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Molle","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive 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