Pelvic organ prolapse can occur after radical cystectomy due to pressure on the sutured vaginal site, leading to wound dehiscence. This condition resembles keloids or stretch marks on the skin.

Since the normal vaginal epithelium (squamous epithelium) is absent, the remaining connective tissue is significantly weaker, increasing the risk of intestinal incarceration, necrosis, and other life-threatening complications.

Timely surgical intervention to repair the defect is crucial. However, reoperation can be challenging due to adhesions from the initial cystectomy, making it a technically demanding procedure. Nevertheless, addressing the issue before it becomes an emergency is essential.

While robotic surgery has enabled even less-experienced surgeons to achieve outcomes similar to those of experts, new complications associated with robotic procedures require additional measures and considerations.