Abstract
Pelvic organ prolapse (POP) is frequently encountered in elderly women. However, it can also affect relatively young women of reproductive age. Here, we present three cases of uterine-sparing robot-assisted sacrocolpopexy (RSC) in women aiming for pregnancy. All cases were diagnosed with POP-Q stage III. Utilizing the da Vinci X or Xi robotic surgical system, they underwent uterine-sparing RSC with dual mesh anterior and posterior walls. The anterior wall mesh was not a Y-shaped mesh encircling the cervix; The anterior wall mesh was not a Y-shaped mesh encircling the cervix; rather, it was placed only through the window of the right broad ligament to minimize uterine artery compression caused by the mesh. No perioperative complications or short-term recurrences were noted. Uterine-sparing robotic-assisted sacrocolpopexy represents a valuable surgical option for patients with POP who wish to become pregnant.