Robotic/laparoscopic prolapse repair: role of hysteropexy: a urogynecology perspective.

This article addresses uterine preservation at the time of pelvic floor repair. Currently available data on the effectiveness of pelvic organ prolapse repairs is based on studies in which women underwent hysterectomy at the time of pelvic floor repair, and cannot be extrapolated to hysteropexy. Several case series outline the feasibility and effectiveness of suture and mesh-augmented hysteropexy. Even fewer data are available regarding pregnancy risks and outcomes following hysteropexy. Leaving the uterus in situ at the time of pelvic floor repair also raises unique issues, such as the risk and management of future cervical or uterine abnormalities.