**10. Role of minimally invasive surgery in vaginal vault prolapse**

Though the operating times are still longer than vaginal surgery, multiple studies of minimally invasive surgery, including the laparoscopic colpopexy, robotic sacrocolpopexy, show shorter hospital stays and less blood loss compared to the open abdominal approach, they are therefore presumably associated with quicker recovery and less pain.

Randomized trials of Laparoscopic sacrocolpopexy versus robotic sacrocolpopexy showed no difference in anatomical prolapse or bulge symptoms 1 year after surgery, demonstrating that long-term outcomes after these two minimally invasive approaches may be similar [29].

However, robotic assisted laparoscopy is significantly more expensive, mainly because of a longer duration of surgery (265 min for robotic sacrocolpopexy versus 199 for laparoscopic sacrocolpopexy).
