Robot-Assisted Sacrocolpopexy versus Trans-Vaginal Multicompartment Prolapse Repair: Impact on Lower Bowel Tract Function

Background: This study evaluated the effectiveness, safety, and possible changes in bowel symptoms after multicompartment prolapse surgery by comparing two different surgical approaches, transvaginal mesh with levatorplasty (TVMLP) robot-assisted sacrocolpopexy (RSC). Methods: All patients underwent pelvic (POP-Q staging system) rectal examination to evaluate anal sphincter tone lithotomy position appropriate Valsalva test. The preoperative evaluation included urodynamics magnetic resonance defecography. Patient Global Impression of Improvement (PGI-I) at follow-up measured subjective improvement. completed Agachan–Wexner’s questionnaire 0 12 months symptoms. Results: A total 73 cases were randomized into RSC group (36 cases) TVMLP (37 cases). After surgery, main POP-Q stage both groups was I (RCS 80.5% vs. 82%). There a significant difference (p < 0.05) postoperative tone: 35%. experienced hypertonic sphincter, while none did. Regarding improvement, median PGI-I 1 groups. At follow-up, exhibited improvement Conclusions: successfully corrected POP. showed greater Agachan–Wexner score lower