News
Robotic-assisted surgery for genital prolapse shows promise
The first surgery in the world using a robotic-assisted minimally invasive method for genital prolapse has been shown to be successful, according to new anaylsis.
If a woman’s pelvic floor is severely weakened, the uterus and vagina may descend. As a result, affected women suffer from prolapse symptoms and possibly bladder, bowel and sexual dysfunction.
If conservative treatment options do not help, the uterus does not necessarily have to be removed, but can be surgically suspended using a synthetic mesh.
Since 2022, single hospitals in Germany have also been performing this procedure using a body’s own tendon.
The urogynaecology team of the Department of Gynaecology and Gynaecological Oncology at the University Hospital Bonn (UKB) has developed this surgical procedure even further. It is the first surgery in the world using the robotic-assisted minimal invasive method – with success, as the analysis of the first ten surgeries shows.
The study has now been published in the International Urogynecology Journal.
The pelvic floor supports our organs in the abdomen and holds them firmly in place.
In women, however, the pelvic floor can be weakened by pregnancy and vaginal births, for example, or due to heredity, age or weight.
Prof Dr Dominique Könsgen-Mustea is Head of the Division of Urogynecology at the Department of Gynaecology and Gynaecological Oncology at the UKB.
The researcher said: “Almost every second woman suffers from a pelvic floor disorder in the course of her life.”
One possible consequence of such disorder is that the uterus descends.
A slight prolapse hardly causes any discomfort, but if it is more severe, it can lead to bladder, bowel or sexual dysfunction, pain in the lower abdomen and back and bulge symptoms.
Sometimes the uterus descends so far that, the vagina bulges outwards or the uterus prolapses through the vagina – which puts a lot of physical and psychological strain on affected women.
Professional pelvic floor training, medication and pessaries, which are positioned in the vagina to support the organs, can help in mild forms of uterine prolapse.
Robotic-assisted procedure with the body’s own tendon
If the symptoms are more severe, surgery can be recommended.
However, the uterus is not necessarily removed: It can be surgically suspended back into its anatomical correct position.
Such a surgical procedure is usually performed using a synthetic mesh.
Recently, it has also been possible to use a body’s own tendon from the thigh – an autologous tissue that has long been used by trauma surgeons as an established procedure for cruciate ligament reconstruction: Using a small incision in the back of the knee, part of the posterior thigh tendon is removed and then fixed to the uterus or cervix.
Prof Könsgen-Mustea, who established the technique at the UKB, said: “The advantage of this method is that no foreign material enters the body.
“And removing the tendon also has no negative effects on the leg: it remains pain-free and, in the long term, unrestricted in terms of mobility.”
Prof Könsgen-Mustea’s team has further developed this surgical technique: In June 2022, it performed the world’s first robotic-assisted cervical suspension using a body’s own tendon.
Since then, the UKB team has been treating women suffering from uterine prolapse with the new procedure.
Dr Carolin Schröder is a gynaecologic specialist from the Department of Gynaecology and Gynaecological Oncology at the UKB.
She said: “The first ten robotic-assisted cervical suspension procedures in the period from June 2022 to February 2023 have now been analysed for their safety, feasibility and effectiveness.”
The gynaecological team examined the objective and subjective patients outcome three and twelve months after the procedure.
Promising surgical technique
The results showed that the ten patients who underwent robotic-assisted surgery had a positive clinical outcome after twelve months as a result of the uterine suspension.
Dr Schröder said: “After three and twelve months no patient suffered from a prolapse.”
In addition, there were no intraoperative or postoperative complications.
Prof Könsgen-Mustea said: “With the DaVinci-robot, we have a highly magnified 3D-image and can therefore perform the surgery very precisely.
“This makes the procedure tissue sparing and bleedingless, and we can easily reach all deep compartments of the pelvic floor.
The patients also reported about the high satisfaction with the surgical outcome.
Head of Urogynecology at the UKB wrote: “This pilot study shows excellent clinical outcomes, with an improved quality of life for the patients.”
The robotic-assisted cervical suspension is therefore considered a promising surgical technique.
Meanwhile, an international network led by the UKB has been established, in order to analyse consecutively the outcome of patients treated by this procedure.
Image: University Hospital Bonn / Alessandro Winkler
Light exercise and less sitting may reduce pregnant women’s risk of serious blood pressure complications, according to a new study.
Researchers have proposed a daily activity and sleep guide that they say was linked to a nearly 30 per cent lower risk of hypertensive disorders of pregnancy.
The suggested pattern includes fewer than eight hours of sedentary time, at least seven hours of light physical activity, around 22 minutes of more intense activity and nearly nine hours of sleep.
The University of Iowa-led study examined the daily behaviours of 470 pregnant women across all stages of pregnancy.
Participants wore monitors that measured physical activity over 24-hour periods and recorded how long they spent asleep.
Hypertensive disorders of pregnancy include chronic high blood pressure, gestational hypertension and pre-eclampsia.
Gestational hypertension is high blood pressure that develops during pregnancy, while pre-eclampsia is a potentially serious condition involving high blood pressure and signs that organs may be affected.
Sedentary behaviour means being mostly inactive, such as sitting or lying down.
Light physical activity can include casual walking, moving around the home or standing.
Moderate to vigorous activity includes movement such as brisk walking, where breathing and heart rate increase.
Kara Whitaker, associate professor in the department of health, sport, and human physiology at Iowa and corresponding author of the study, said: “We are identifying the optimal composition of movement behaviours across the day associated with the lowest risk of developing HDP and the most improved health outcomes.
“This blueprint holds for each and every trimester of pregnancy.”
Study participants were enrolled at sites in Iowa City, Pittsburgh and Morgantown, West Virginia.
The women wore activity and sleep monitors for at least one week during each trimester of pregnancy.
Four in five participants were non-Hispanic white and nearly a quarter lived in rural areas.
The data showed a steep rise in risk among pregnant women who were sedentary for more than 10 hours a day.
Women who increased light physical activity to at least four hours a day reduced their risk of hypertensive disorders of pregnancy to 15 per cent from 30 per cent.
Whitaker said: “Just moving around more seems to have significant health benefits.
“And I think it also may be a more feasible target for women who are pregnant who are not exercising regularly.”
The researchers said they were surprised that longer durations of moderate to vigorous physical activity did not appear to provide additional benefit.
Sleep beyond a certain duration also did not appear to bring major further benefits.
Whitaker said: “Through this study, we are providing evidence that reducing sedentary behaviour and engaging in light physical activity are important, and maybe more important, when it comes to pregnancy and health.”
The findings may be relevant beyond pregnancy because clinical research has shown that women who develop hypertensive disorders of pregnancy are more than twice as likely to develop heart disease later in life.
Cardiovascular disease includes conditions affecting the heart and blood vessels, such as heart disease and stroke.
Whitaker said: “We know that cardiovascular disease is the number one killer of women, and if we can intervene in pregnancy and prevent women from developing a hypertensive disorder of pregnancy, we are putting them on a better trajectory, away from cardiovascular disease and toward more optimal cardiovascular health.”
The study was published online on June 10.
A second study, published online on May 27, looked more closely at the ratio and type of sedentary behaviour and light physical activity linked to a lower risk of hypertensive disorders of pregnancy.
Whitaker is a lead co-author on that study.
Co-authors in the June 10 study include Alex Crisp, Jaemyung Kim, Karina Smith, Donna Santillan, Mark Santillan and Bridget Zimmerman, from Iowa; Jacob Gallagher, from Iowa State University; Melissa Jones, from Oakland University in Michigan; Bethany Barone Gibbs, Katrina Wilhite, Alexis Thrower and Iqra Sheikh, from West Virginia University; and Sabera Rahman, Janet Catov, Christopher Kline and Maisa Feghali, from the University of Pittsburgh.
The National Institutes of Health, the University of Iowa Institute for Clinical and Translational Science, the University of Pittsburgh Clinical and Translational Science Institute and the West Virginia Clinical and Translational Science Institute funded the research.
We are excited to reveal the winners of the third annual Femtech World Awards.
The winners were announced at a virtual event this afternoon attended by shortlisted companies, along with sponsors and judges.
The event welcomed guests from the UK, Europe, Asia, Africa and North America.
Thank you to all 174 entries, as well as the sponsors for making the event possible.
See you in 2027!
Femtech World Awards 2026 Winners
Winner:
Shortlisted:
IVI RMA x Juno Genetics
Natural Cycles
Winner:
Highly commended:
U-Ploid
Shortlisted:
Hello Inside
Winner:
WISE HF, led by Prof. Mary Ryder
Highly commended:
Cardiac College for Women
Shortlisted:
Hyvelle Ferguson-Davis
CognitiveCare
Winner:
Highly commended:
Youterus
Shortlisted:
ŌURA
Winner:
Shortlisted:
LeanShield by ParrotPal Group
Perigen
Winner:
Shortlisted:
Body Moody
Looop
Winner:
Shortlisted:
Owning Your Menopause
Womeno
Winner:
Shortlisted:
The Blue Box
Celbrea
Winner:
Shortlisted:
HealCycle
Mor
Winner:
Shortlisted:
HRC Fertility
Mira
Pregnant women’s expectations about postpartum sleep may predict sleep quality after birth, outweighing prior sleep and psychiatric history, a study suggests.
The findings suggest attitudes and beliefs about sleep during pregnancy could be a modifiable risk factor for postpartum sleep concerns.
They also indicate that, among women expecting the poorest sleep, higher postpartum anxiety may further worsen sleep quality.
Sammy Dhaliwal, lead author is clinical health psychologist and research fellow in the department of obstetrics and gynaecology at the Perelman School of Medicine at the University of Pennsylvania.
Dhaliwal said: “Most pregnant women in our sample anticipated poor postpartum sleep before it occurred, and it was striking that those expectations predicted worse sleep outcomes even after accounting for factors such as prior sleep disorders, psychiatric history, and number of previous births.
“This suggests that attitudes and beliefs about sleep during pregnancy may represent a modifiable target for early intervention before postpartum sleep problems emerge.”
Sleep disturbance affects an estimated 60 to 80 per cent of postpartum women and is linked to a higher risk of depression and anxiety.
Researchers said it is often regarded as an expected part of life after childbirth rather than a health issue that may be addressed earlier.
The study enrolled 432 pregnant women at about 24 weeks of gestation, meaning around 24 weeks into pregnancy.
Participants completed measures of their expectations about postpartum sleep, current sleep quality using the Pittsburgh Sleep Quality Index, and mood using validated depression and anxiety scales.
Assessments were repeated at six, 12 and 24 weeks postpartum.
A subset of 49 women also wore wrist actigraphy devices at six to eight weeks postpartum.
Actigraphy uses a wearable device, similar to a watch, to estimate sleep and wake patterns based on movement.
The results showed that 70 per cent of pregnant women, or 301 of 432 participants, expected poor sleep in the postpartum period.
Researchers found that predicted sleep disruption during pregnancy was a significant predictor of postpartum sleep concerns.
Among first-time pregnant women without prior health concerns, those who expected greater sleep disturbance had significantly more disrupted sleep after birth, measured by both actigraphy and self-report.
Among women who expected the worst sleep quality, higher postpartum anxiety significantly worsened both measured sleep and self-reported sleep, independent of anxiety levels during pregnancy.
Dhaliwal said the findings point to two possible areas for intervention: addressing sleep-related beliefs during pregnancy and treating postpartum anxiety.
Dhaliwal said: “Postpartum sleep disruption is often treated only after problems develop, but our findings suggest there may be an opportunity to intervene earlier during pregnancy.
“Addressing sleep-related beliefs and postpartum anxiety during prenatal and postpartum care may help improve sleep and emotional well-being in new mothers.”
Hormonal health3 weeks agoPerimenopause misinformation ‘putting women at risk’
Hormonal health3 weeks agoNHS urged to update website following renaming of PCOS
News2 weeks agoWomen still being failed when they reach menopause, experts say
Entrepreneur2 weeks agoWomen’s Health Innovation Summit opens submissions for 2026 Innovation Showcase
Insight1 week agoBritish women among angriest in Europe, health survey reveals
News2 weeks agoThree menopause innovators shortlisted for Femtech World Award
Fertility4 weeks agoAI could transform ovarian care through personalisation, study finds
News3 weeks agoLow insulin diet and avoiding four food groups may prevent menopause weight gain