Midterm results of robot-assisted sacrocolpopexy

Hach, C.E.; Krude, J.; Reitz, André; Reiter, Michael; Haferkamp, Axel; Buse, Stephan

doi:10.1007/s00192-015-2688-7

Cited by 6 publications

(1 citation statement)

References 24 publications

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“…Currently, high quality long-term RSC outcome data does not yet exist. In a prospective case series of over 100 RSC there was a 75% subjective success rate at 22 months (32). One case series reported on 30 RSC patients after 3 years and reported a 13% rate of repeat surgery (33).…”

Section: Robotic Sacrocolpopexymentioning

confidence: 99%

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Schachar¹,

Matthews²

2020

Transl Androl Urol

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The purpose of this article is to perform a scoping review of the medical literature regarding the efficacy, safety, and cost of robotic-assisted procedures for repair of pelvic organ prolapse in females.Sacrocolpopexy is the "gold standard" repair for apical prolapse for those who desire to maintain their sexual function, and minimally-invasive approaches offer similar efficacy with fewer risks than open techniques.The introduction of robotic technology has significantly impacted the field, converting what would have been a large number of open abdominal sacrocolpopexy (ASC) procedures to a minimally-invasive approach in the United States. Newer techniques such as nerve-sparing dissection at the sacral promontory, use of the iliopectineal ligaments and natural orifice vaginal sacrocolpopexy may improve patient outcomes. Prolapse recurrence is consistently noted in at least 10% of patients regardless of route of mesh placement. Ancillary factors including pre-operative prolapse stage, retention of the cervix, type of mesh implant, and genital hiatus (GH) size all adversely affect surgical efficacy, while trainees do not. Minimally-invasive apical repair procedures are suited to early recovery after surgery protocols but may not be appropriate for all patients.Studies evaluating longer-term outcomes of robotic sacrocolpopexies are needed to understand the relative risk/benefit ratio of this technique. With several emerging robotic platforms with improved features and a focus on decreasing costs, the future of robotics seems bright.

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Section: Robotic Sacrocolpopexymentioning

confidence: 99%

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Schachar¹,

Matthews²

2020

Transl Androl Urol

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Selection of Concomitant Vaginal Procedures

Adelstein

Lee

2017

The Use of Robotic Technology in Female Pelvic Floor Reconstruction

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Long-term outcomes of robotic mesh sacrocolpopexy

Jong

Klein

2017

J Robotic Surg

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The aim of the study is to evaluate anatomic and functional late-term outcomes of robotic mesh sacrocolpopexy (RMS) at a single tertiary-care institution. Following IRB approval, a retrospective chart review of a prospectively collected database on consecutive patients who underwent RMS for symptomatic pelvic organ prolapse and had 3 year minimum follow-up was performed. Data collected included physical examination, validated questionnaires including Urogenital Distress Inventory, Incontinence Impact Questionnaire, and global Quality of Life (QOL). The primary outcome was failure defined as the need for re-operation and/or prolapse recurrence by examination. Those with office follow-up < 36 months underwent structured phone interviews. Between 12/2007 and 2/2012, 56 women underwent RMS. Thirty women had follow-up ≥ 3 years (median 64 (IQR 48-85) months). Mean C-point went from - 2.33 (range 0 to - 5) to - 9.00 (0 to - 12) (p < 0.01), and mean QOL score from 3.93 (0-10) to 1.93 (0-8) (p < 0.01). Two developed recurrent vault prolapse later on at 26 and 34 months, respectively. Four women (13%) required surgery for secondary prolapses, with three for anterior compartment and one for posterior compartment. Sixteen of twenty six were contacted via structured phone interviews, with 14 doing well, one deceased, and one who underwent a secondary posterior compartment prolapse 6 years later at an outside facility. This long-term study indicates durability for RMS in the management of symptomatic pelvic organ prolapse.

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Midterm results of robot-assisted sacrocolpopexy

Abstract: In this single-surgeon study, robot-assisted sacrocolpopexy was a safe and rapidly performed procedure that achieved good medium-term functional results.

Cited by 6 publications

References 24 publications

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature

Selection of Concomitant Vaginal Procedures

Long-term outcomes of robotic mesh sacrocolpopexy

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