03/04/2026
Is the routine hysterectomy becoming a thing of the past for prolapse repair?
A growing trend toward uterine preservation is shifting the standard approach to pelvic organ prolapse surgery. In a featured February 2026 American Urological Association AUA News report, Tamar Yacoel, MD FACOG; Ruomei Wu, MD; Katherine Amin, MD; and Raveen Syan, MD from the University of Miami Miller School of Medicine outline how surgery is increasingly guided by patient preference and clinical indications rather than routine removal.
Modern procedures: such as laparoscopic sacrohysteropexy and uterosacral ligament suspension: are demonstrating durable anatomical outcomes, reduced blood loss, and shorter operative times. For the surgical team, these preservation strategies demand a high degree of technical precision and clear visualization of complex pelvic anatomy.
Optimal outcomes now rely on shared decision making and evidence based planning. Success in prolapse surgery is no longer defined by the automatic removal of the uterus, but by tailoring the approach to each patient’s unique health needs and long term goals.
Read the full commentary on this clinical shift: https://www.endoscopysuperstore.com/blogs/surgery-gets-smarter-blog/to-remove-or-preserve-the-modern-approach-to-uterus-in-prolapse-surgery
Explore the original AUA News feature: https://auanews.net/issues/articles/2026/february-2026/to-remove-or-preserve-the-role-of-hysterectomy-in-prolapse-surgery