World Journal of Urology

, Volume 24, Issue 2, pp 188–192

Current status of robotics in female urology and gynecology

  • Daniel S. Elliott
  • George K. Chow
  • Matthew Gettman
Topic Paper

DOI: 10.1007/s00345-006-0071-5

Cite this article as:
Elliott, D.S., Chow, G.K. & Gettman, M. World J Urol (2006) 24: 188. doi:10.1007/s00345-006-0071-5

Abstract

Currently, there has been limited reporting and research in the female urology and gynecological literature concerning the use of robotics. To date, robotics have been utilized only for the treatment of three benign gynecologic conditions: benign hysterectomy; repair of vesicovaginal fistula; and sacrocolpopexy which is a treatment for posthysterectomy vaginal vault prolapse. We describe a novel minimally invasive technique of vaginal vault prolapse repair and present our initial experience. The surgical technique involves placement of five laparoscopic ports: three for the daVinci® robot and two for the assistant. A polypropylene mesh is then attached to the sacral promontory and to the vaginal apex using Gortex sutures. Thirty-one patients underwent a robotic-assisted laparoscopic sacrocolpopexy at our institution in the past 24 months for severe symptomatic vaginal vault prolapse. Complications were limited to mild port site infections in two patients, which resolved with oral antibiotic therapy. While our early experience utilizing robotic repairs in female urology and gynecology is encouraging, long-term data are needed to confirm these findings and establish longevity of the repair.

Keywords

RoboticsLaparoscopySacrocolpopexyVaginal vault prolapse

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Daniel S. Elliott
    • 1
  • George K. Chow
    • 1
  • Matthew Gettman
    • 1
  1. 1.Department of Urology, Sections of Female Urology and Urologic LaparoscopyMayo ClinicRochesterUSA