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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Uterine-Sparing vNOTES vs. laparoscopic lateral suspension for pelvic organ prolapse repair: a prospective comparative study of feasibility and early 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.
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