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Christopher E. Wolter, MD, Assistant Professor, Mayo Clinic, Phoenix, Arizona, debates the merits of robotic uterosacral ligament suspension versus robotic sacrocolpopexy for pelvic organ prolapse repair. In this 11-minute presentation, he acknowledges the efficacy and durability of robotic sacrocolpopexy, while highlighting the emerging role of robotic uterosacral ligament suspension as a viable alternative. Watch the pro side of the debate here: • Pro: Severe Pelvic Organ Prolapse Robotic ... Wolter explains the technical aspects of robotic uterosacral ligament suspension, emphasizing its comparable success rates, reduced operative times, and decreased risk of mesh-related complications. He outlines the surgical advantages of robotic techniques, including superior visualization and the ability to perform precise, high-apex suturing, which reduces ureteral injury risk. Through comparative analyses, he illustrates that robotic uterosacral ligament suspension demonstrates equivalent quality-of-life improvements and subjective outcomes while offering better preservation of urinary function and lower urgency symptoms than sacrocolpopexy. He concludes that uterosacral ligament suspension is a safer option for high-risk patients and a valuable addition to the surgical repertoire for individualized care.