Robotic Surgery for Pelvic Organ Prolapse: A Modern Solution to an Age-Old Problem
By Dr Kelly Hankins – Gynaecologist, Gosford
Pelvic organ prolapse is a condition that many women experience but few talk about openly. It’s often described as a feeling of "something falling down" in the pelvis, or a bulge in the vaginal area. For generations, this condition has been quietly endured or treated with limited surgical options and long recovery times. Today, thanks to advancements in technology, women have access to a far more refined and less invasive treatment: robotic-assisted surgery.
I use robotic surgical technology to offer women a modern, effective, and minimally invasive solution to pelvic organ prolapse, helping them regain comfort, confidence, and quality of life.

What is Pelvic Organ Prolapse?
Pelvic organ prolapse (POP) occurs when the muscles and tissues supporting the pelvic organs weaken, causing one or more organs—such as the bladder, uterus, or rectum—to descend into or out of the vagina. It’s a common condition, particularly after childbirth, menopause, or hysterectomy.
Symptoms may include:
- A sensation of pressure or fullness in the pelvis
- A visible or palpable bulge in the vagina
- Urinary leakage or difficulty emptying the bladder
- Discomfort during sex
- Lower back pain
Although it is not usually life-threatening, pelvic organ prolapse can significantly affect your comfort, mobility, and overall well-being.
A New Era in Treatment: Robotic-Assisted Surgery
Traditionally, surgical options for pelvic organ prolapse involved open surgery or standard laparoscopy. While effective, these approaches often required longer hospital stays, larger incisions, and more time off your feet.
Robotic-assisted surgery is changing that landscape. This advanced technique allows for highly precise repairs using small incisions, less pain, and a faster recovery.
How Robotic Surgery Works
Robotic surgery does not mean a robot performs the operation. Instead, I control a robotic system that translates my hand movements into ultra-precise micro-movements of surgical instruments. The system offers:
- 3D high-definition vision for improved accuracy
- Enhanced dexterity with instruments that can rotate and bend far beyond the capability of the human hand
- Minimally invasive access, reducing trauma to surrounding tissues
All of this results in safer, more controlled surgery with better outcomes for patients.
Benefits of Robotic Surgery for Pelvic Organ Prolapse
For the right candidates, robotic surgery offers many advantages, including:
- Smaller Incisions
Robotic surgery is performed through a few small incisions rather than one large one. This results in less visible scarring and lower risk of infection.
- Less Pain and Discomfort
Minimally invasive surgery means less trauma to surrounding tissues, leading to reduced postoperative pain and less reliance on pain medications.
- Faster Recovery
Most patients are able to return to light activities within a few days and resume normal activities, including work and exercise, within a few weeks.
- Better Surgical Precision
The robotic system allows for very accurate dissection and suturing, which is especially valuable in pelvic floor repairs where tissue strength and organ alignment are crucial.
- Improved Long-Term Outcomes
Studies show that robotic-assisted surgery has excellent long-term results, with low rates of prolapse recurrence and high patient satisfaction.
Is Robotic Surgery Right for You?
If you are experiencing symptoms of pelvic organ prolapse, it’s important to have a thorough evaluation. Not every woman will require surgery, some may benefit from pelvic floor physiotherapy or a pessary device. For moderate to severe cases or where conservative management hasn’t worked, robotic surgery can be an excellent option.
Ideal candidates for robotic-assisted prolapse surgery are typically:
- In good overall health
- Experiencing significant symptoms that affect quality of life
- Interested in a long-term solution with minimal downtime
As with all medical decisions, we’ll carefully discuss the benefits, risks, and your personal goals during a consultation.
Personalised Care in Gosford
I understand that surgery is a significant decision, and no two patients are the same. My goal is to ensure that every woman I treat receives personalised, compassionate care, guided by the most up-to-date technology and evidence-based practice.
As one of the few female gynaecologists in the Central Coast region offering robotic gynaecological surgery, I’m proud to provide local women with access to world-class treatment without having to travel far from home.
Take the Next Step
If you suspect you may have pelvic organ prolapse or have been putting off treatment, know that there are modern solutions that can help you feel like yourself again.
To schedule a consultation or learn more about robotic gynaecological surgery in Gosford, please contact me today.
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