Language

English

Publication Date

4-1-2026

Journal

Cureus

DOI

10.7759/cureus.106596

PMID

42109954

PMCID

PMC13152198

PubMedCentral® Posted Date

4-7-2026

PubMedCentral® Full Text Version

Post-print

Abstract

Pelvic organ prolapse remains a common condition requiring durable surgical correction, with sacrocolpopexy considered the gold standard. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) has emerged as a scarless minimally invasive approach, while the integration of robotic single-port technology may further enhance surgical precision and ergonomics. However, data on robotic-assisted single-port vNOTES (RSP-vNOTES) sacrocolpopexy remains limited. We report a case of a 58-year-old Asian woman with symptomatic apical pelvic organ prolapse. The pelvic organ prolapse quantification (POP-Q) assessment demonstrated stage II uterine prolapse. She underwent robotic-assisted single-port vNOTES (RSP-vNOTES) sacrocolpopexy using the da Vinci single-port (SP) platform. The procedure was successfully completed via a transvaginal approach without abdominal incisions. Operative time was 170 min, with minimal blood loss (25 mL), and no intraoperative complications occurred, nor was a conversion required. The patient was discharged on postoperative day two and demonstrated an uneventful recovery with sustained anatomical support at one-year follow-up. This case highlights the feasibility and safety of RSP-vNOTES sacrocolpopexy and underscores its potential advantages, including enhanced visualization, improved instrument dexterity, and the benefits of a scarless approach. As an early application of RSP-vNOTES in pelvic reconstructive surgery, this technique may represent a significant advancement in minimally invasive management of pelvic organ prolapse. Therefore, this case report aimed to describe the surgical technique and perioperative outcomes of RSP-vNOTES sacrocolpopexy using the da Vinci SP platform, while highlighting its potential advantages and clinical relevance. By presenting this early experience, we seek to contribute to the evolving evidence base and inform future adoption of this innovative approach in minimally invasive pelvic reconstructive surgery.

Keywords

da vinci single-port system, pelvic organ prolapse, robotic-assisted surgery, sacrocolpopexy, vnotes

Published Open-Access

yes

Download

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.