Uterine-Sparing vNOTES vs. laparoscopic lateral suspension for pelvic organ prolapse repair: a prospective comparative study of feasibility and early outcomes - Summary - MDSpire
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Comparative Analysis of Uterine-Sparing vNOTES and Laparoscopic Lateral Suspension for Repairing Pelvic Organ Prolapse: A Prospective Study on Feasibility and Initial Outcomes
To evaluate perioperative performance, anatomical correction, and functional outcomes of vNOTES compared to laparoscopic lateral suspension in repairing pelvic organ prolapse.
Key Findings:
Both techniques achieved successful anterior-apical correction.
vNOTES had significantly shorter operative time (60.4 vs. 90.7 min) and hospital stay (1.32 vs. 1.98 days).
POP-Q measurements favored vNOTES at 6 months for Ba and Bp.
Lower functional scores (POPDI-6 and UDI-6) were observed in the vNOTES group, indicating potential areas for improvement.
No mesh exposures occurred and complication rates were low.
Interpretation:
vNOTES provided faster recovery and greater functional symptom improvement compared to LLS, without compromising safety, highlighting its potential as a preferred option.
Limitations:
Short follow-up duration limits assessment of long-term durability.
Single-center study may affect generalizability and introduce potential biases.
Conclusion:
Both vNOTES and LLS are effective for uterus-preserving prolapse repair, with vNOTES showing advantages in recovery and functional outcomes.
