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The feasibility of transvaginal robotic surgery in the repair of pelvic organ prolapse

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Abstract

Introduction and hypothesis

Pelvic organ prolapse (POP), the descent of one or more pelvic organs, occurs in an estimated 40 to 60% of parous women. Conventional transvaginal surgery for POP has been plagued with high failure rates. The purpose was to determine the safety and feasibility of robotic transvaginal POP surgery.

Methods

The da Vinci Surgical Robot, SI was used in the POP surgical procedures. There were two cadavers (aged 18 and 78 years of age; BMI 17.2 and 19.2 respectively). POP-Q scores before intervention were stage 1 for both cadavers.

Results

The visualization of anatomical landmarks and the placement of sutures at these locations were successful.

Conclusion

Robotic transvaginal POP is a feasible option for POP surgery. Further studies are warranted to determine the role of robotic transvaginal POP repair.

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References

  1. Handa VL, Garrett E, Hendrix S, Gold E, Robbins J. Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol. 2004;190(1):27–32.

    Article  PubMed  Google Scholar 

  2. Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186(6):1160–6.

    Article  PubMed  Google Scholar 

  3. Nygaard I, Brubaker L, Zyczynski HM, et al. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA. 2013;309(19):2016–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013;4:CD004014.

    Google Scholar 

  5. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Tinelli A, Malvasi A, Rahimi S, et al. Age-related pelvic floor modifications and prolapse risk factors in postmenopausal women. Menopause. 2010;17(1):204–12.

    Article  PubMed  Google Scholar 

  7. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501–6.

    Article  CAS  PubMed  Google Scholar 

  8. Wu JM, Hundley AF, Fulton RG, Myers ER. Forecasting the prevalence of pelvic floor disorders in U.S. women: 2010 to 2050. Obstet Gynecol. 2009;114(6):1278–83.

    Article  PubMed  Google Scholar 

  9. FDA. Safety Communications—UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse: FDA Safety Communication. 2011.

  10. Ramirez D, Maurice MJ, Kaouk JH. Robotic perineal radical prostatectomy and pelvic lymph node dissection using a purpose-built single-port robotic platform. BJU Int. 2016;118(5):829–33.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Urology, Weill Cornell Medical College/New York Presbyterian, 425 East 61st Street, 12th Floor, New York, NY, 10056, USA

    Ibrahim Yaghnam, Dominique Thomas & Bilal Chughtai

  2. Mount Auburn Hospital, Cambridge, MA, 02138, USA

    Peter Rosenblatt

Authors
  1. Ibrahim Yaghnam
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  2. Dominique Thomas
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  3. Peter Rosenblatt
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  4. Bilal Chughtai
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Corresponding author

Correspondence to Bilal Chughtai.

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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

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Yaghnam, I., Thomas, D., Rosenblatt, P. et al. The feasibility of transvaginal robotic surgery in the repair of pelvic organ prolapse. Int Urogynecol J 28, 1263–1264 (2017). https://doi.org/10.1007/s00192-017-3269-8

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  • DOI: https://doi.org/10.1007/s00192-017-3269-8

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