A New Technique in Pelvic Organ Prolapse: Performing Sacrocolpopexy Through Natural Orifice Surgery Kılıççı-Bulutlar Technique

Abstract

Objectives

Pelvic organ prolapse (POP) significantly affects patients' quality of life, necessitating effective surgical interventions. Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) sacrocolpopexy has been developed as a minimally invasive technique to address these challenges. This study aims to describe the vNOTES sacrocolpopexy procedure and evaluate its outcomes in patients with Stage II or higher apical prolapse.

Methods

A prospective study was conducted, including eight patients who underwent vNOTES sacrocolpopexy between January and March 2024. Surgical procedures followed a standardized protocol, and demographic data, surgical details, and postoperative outcomes were recorded. Operative results were analyzed using SPSS 22.0 software.

Results

The vNOTES sacrocolpopexy procedure was successfully performed in all eight patients, with an average operation time of 62 min and minimal blood loss. Postoperative evaluations showed significant improvements in POP-Q scores. No intraoperative or 30-day postoperative complications were observed, and all patients were discharged on the 2nd postoperative day.

Conclusions

vNOTES sacrocolpopexy is a promising minimally invasive technique for managing POP, providing excellent cosmetic results and a comparable hospital stay to traditional approaches. The procedure aligns with recent trends favoring same-day discharge. While these findings support the wider adoption of vNOTES sacrocolpopexy in gynecological practice, further studies are necessary to assess long-term outcomes and potential complications.