Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report
Abstract Background The management of pelvic organ prolapse remains a clinical challenge, particularly with concerns regarding the safety of synthetic mesh-based procedures. In response, we present a novel approach for apical prolapse repair utilizing robotic assistance for tendon transplantation, o...
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| Language: | English |
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BMC
2025-05-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-025-05267-2 |
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| author | Dominique Koensgen Charlotte Lukannek Carolin Schroeder Lucia A. Otten Amadeus Hornemann Alexander Mustea |
| author_facet | Dominique Koensgen Charlotte Lukannek Carolin Schroeder Lucia A. Otten Amadeus Hornemann Alexander Mustea |
| author_sort | Dominique Koensgen |
| collection | DOAJ |
| description | Abstract Background The management of pelvic organ prolapse remains a clinical challenge, particularly with concerns regarding the safety of synthetic mesh-based procedures. In response, we present a novel approach for apical prolapse repair utilizing robotic assistance for tendon transplantation, offering a promising alternative to the use of synthetic meshes. Case presentation A 47-year-old multiparous woman (white, non-Hispanic) with a history of three vaginal deliveries and laparoscopic supracervical hysterectomy presented with symptoms of pelvic organ prolapse, including vaginal discomfort, recurrent urinary tract infections, and overactive bladder. Clinical examination and ultrasonography revealed a combined anterior and apical vaginal prolapse grade II according to the Pelvic Organ Prolapse Quantification system. A robotic sacrocervicopexy with a semitendinosus autograft, harvested from the left popliteal fossa, and concomitant anterior colporrhaphy were performed. The surgical procedure included the dissection of the ligamentum longitudinale using a nerve-sparing technique, cervix preparation, and tendon transplantation. The surgery lasted 172 min without intraoperative complications. The patient’s postoperative recovery was swift without residual prolapse, voiding dysfunction, or urinary incontinence reported at any of the follow-up examinations, conducted at 8 weeks, 3 months, 6 months, and 1 year after the operation. Conclusion This case report demonstrates the successful application of a robotic-assisted tendon transplantation approach for apical prolapse repair, offering a safe and effective alternative to synthetic mesh-based surgical procedures. An ongoing multicenter registry study aims to further validate the method’s safety and efficacy, paving the way for its broader adoption in clinical practice. |
| format | Article |
| id | doaj-art-3112df2c166e4e949b230d4db15b2c20 |
| institution | DOAJ |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | Journal of Medical Case Reports |
| spelling | doaj-art-3112df2c166e4e949b230d4db15b2c202025-08-20T03:22:03ZengBMCJournal of Medical Case Reports1752-19472025-05-011911410.1186/s13256-025-05267-2Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case reportDominique Koensgen0Charlotte Lukannek1Carolin Schroeder2Lucia A. Otten3Amadeus Hornemann4Alexander Mustea5Department of Gynecology and Gynecological Oncology, University Hospital BonnDepartment of Gynecology and Gynecological Oncology, University Hospital BonnDepartment of Gynecology and Gynecological Oncology, University Hospital BonnDepartment of Gynecology and Gynecological Oncology, University Hospital BonnDepartment of Gynecology, BürgerspitalDepartment of Gynecology and Gynecological Oncology, University Hospital BonnAbstract Background The management of pelvic organ prolapse remains a clinical challenge, particularly with concerns regarding the safety of synthetic mesh-based procedures. In response, we present a novel approach for apical prolapse repair utilizing robotic assistance for tendon transplantation, offering a promising alternative to the use of synthetic meshes. Case presentation A 47-year-old multiparous woman (white, non-Hispanic) with a history of three vaginal deliveries and laparoscopic supracervical hysterectomy presented with symptoms of pelvic organ prolapse, including vaginal discomfort, recurrent urinary tract infections, and overactive bladder. Clinical examination and ultrasonography revealed a combined anterior and apical vaginal prolapse grade II according to the Pelvic Organ Prolapse Quantification system. A robotic sacrocervicopexy with a semitendinosus autograft, harvested from the left popliteal fossa, and concomitant anterior colporrhaphy were performed. The surgical procedure included the dissection of the ligamentum longitudinale using a nerve-sparing technique, cervix preparation, and tendon transplantation. The surgery lasted 172 min without intraoperative complications. The patient’s postoperative recovery was swift without residual prolapse, voiding dysfunction, or urinary incontinence reported at any of the follow-up examinations, conducted at 8 weeks, 3 months, 6 months, and 1 year after the operation. Conclusion This case report demonstrates the successful application of a robotic-assisted tendon transplantation approach for apical prolapse repair, offering a safe and effective alternative to synthetic mesh-based surgical procedures. An ongoing multicenter registry study aims to further validate the method’s safety and efficacy, paving the way for its broader adoption in clinical practice.https://doi.org/10.1186/s13256-025-05267-2Apical prolapse surgeryTendon transplantationRobotic-assisted surgeryCase reportPelvic organ prolapseSynthetic mesh |
| spellingShingle | Dominique Koensgen Charlotte Lukannek Carolin Schroeder Lucia A. Otten Amadeus Hornemann Alexander Mustea Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report Journal of Medical Case Reports Apical prolapse surgery Tendon transplantation Robotic-assisted surgery Case report Pelvic organ prolapse Synthetic mesh |
| title | Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report |
| title_full | Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report |
| title_fullStr | Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report |
| title_full_unstemmed | Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report |
| title_short | Robotic-assisted tendon transplantation—approach for pelvic organ prolapse repair: a case report |
| title_sort | robotic assisted tendon transplantation approach for pelvic organ prolapse repair a case report |
| topic | Apical prolapse surgery Tendon transplantation Robotic-assisted surgery Case report Pelvic organ prolapse Synthetic mesh |
| url | https://doi.org/10.1186/s13256-025-05267-2 |
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