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Complications in Robotic Urologic Surgery pp 279–284Cite as

Incontinence and Pelvic Organ Prolapse Surgery

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Abstract

Since the Food and Drug Administration (FDA), USA granted its approval to use the da Vinci Robotic Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA, USA) for gynecological practice, it has been documented that the advantages of robotics apply well to urogynecologic procedures. The two most common operative techniques in this area are Burch’s procedure for stress urinary incontinence and sacrocolpopexy for correct the pelvic organs prolapse. During both procedures, complications can arise. The most common in retropubic cystourethropexy are injuries to the urinary organs during dissection and suture fixation; vascular damage, ureteral entrapment, and obturator nerve damage can occur, furthermore others less frequent that have been reported. Regarding to sacrocolpopexy, vascular injuries to promontory and iliac vessels may occur, mesh erosion and migration is an important issue and rarely but osteomyelitis can befall. It is mandatory to understand the anatomy of the Retzius and presacral spaces to avoid the mentioned complications, as well to be prepared to control and repair of the injuries in these procedures, with patience and efficiency. Proved skills in laparoscopic and robotic suturing is mandatory for the appropriate performance of urogynecologic procedures. In this chapter, the complications reported and how to resolve them are described.

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Author information

Authors and Affiliations

  1. Department of Gynecology Endoscopy, UNIDIM, S.A. de C.V., la Paz 104, Colonia Alameda, 38050, Celaya, Guanajuato, Mexico

    Óscar Sánchez-Resendis MD, PhD(FACOG)

  2. Hospital CIMA Hermosillo, Infertility Unit, 83282, Hermosillo, Sonora, Mexico

    José María Mojarra-Estrada MD

  3. Hospital CIMA Hermosillo, UMANO Department of Urology, 83270, Hermosillo, Sonora, Mexico

    Juan Arriaga MD, MHA

  4. Department of Gynecology and Obstetrics, Institute for Social Security and Services for State Employees (ISSSTE), 38050, Celaya, Guanajuato, Mexico

    Eduardo Rivas-Larrauri MD

  5. “Hospital 20 de Noviembre ISSSTE”, Department of Gynecology and Obstetrics, Mexico City, Mexico, 03229

    Lionel Leroy-López MD

Authors
  1. Óscar Sánchez-Resendis MD, PhD(FACOG)
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  2. José María Mojarra-Estrada MD
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  3. Juan Arriaga MD, MHA
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  4. Eduardo Rivas-Larrauri MD
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  5. Lionel Leroy-López MD
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Corresponding author

Correspondence to Óscar Sánchez-Resendis MD, PhD(FACOG) .

Editor information

Editors and Affiliations

  1. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    René Sotelo

  2. Department of Urology, Hospital CIMA, Hermosillo, Sonora, Mexico

    Juan Arriaga

  3. USC Institute of Urology, University of Southern California, Los Angeles, California, USA

    Monish Aron

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Sánchez-Resendis, Ó., Mojarra-Estrada, J.M., Arriaga, J., Rivas-Larrauri, E., Leroy-López, L. (2018). Incontinence and Pelvic Organ Prolapse Surgery. In: Sotelo, R., Arriaga, J., Aron, M. (eds) Complications in Robotic Urologic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-62277-4_29

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  • DOI: https://doi.org/10.1007/978-3-319-62277-4_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62276-7

  • Online ISBN: 978-3-319-62277-4

  • eBook Packages: MedicineMedicine (R0)

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