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Long-term outcomes of robotic-assisted laparoscopic sacrocolpopexy with a minimum of three years follow-up

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Abstract

We describe efficacy and safety of robotic-assisted laparoscopic vaginal vault prolapse repair with long-term follow-up. We reviewed the records of 40 consecutive patients with posthysterectomy vaginal vault prolapse who underwent a robotic-assisted laparoscopic sacrocolpopexy at our institution between September 2002 and September 2006. Patient analysis focused on complications, patient satisfaction, and morbidity, with a minimum of 36 months’ follow-up. Median follow-up was 62 months (range 36–84) and mean age was 67 (43–83) years. Mean operating time was 3.1 (2.15–5) h with a median operating time of 2.9 h. All but four were discharged home on postoperative day one; three patients left on postoperative day two and one left on postoperative day seven. Three developed recurrent grade 3–4 rectoceles and two vaginal extrusion of mesh. Thirty-eight of the 40 patients (95%) were satisfied with their outcome. Robotic-assisted laparoscopic sacrocolpopexy is a minimally invasive technique for vaginal vault prolapse repair, combining the advantages of open sacrocolpopexy with the decreased morbidity of laparoscopy. We found a short hospital stay, low complication rates, and high patient satisfaction with a minimum of 3 years’ follow-up.

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Abbreviations

RALS:

Robotic-assisted laparoscopic sacrocolpopexy

LSC-SCP:

Laparoscopic sacrocolpopexy

SCP:

Sacrocolpopexy

COPD:

Chronic obstructive pulmonary disease

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Authors and Affiliations

  1. Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA

    Mark S. Shimko, Eric C. Umbreit, George K. Chow & Daniel S. Elliott

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  1. Mark S. Shimko
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  2. Eric C. Umbreit
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  3. George K. Chow
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  4. Daniel S. Elliott
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Correspondence to Daniel S. Elliott.

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Shimko, M.S., Umbreit, E.C., Chow, G.K. et al. Long-term outcomes of robotic-assisted laparoscopic sacrocolpopexy with a minimum of three years follow-up. J Robotic Surg 5, 175–180 (2011). https://doi.org/10.1007/s11701-011-0244-0

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  • DOI: https://doi.org/10.1007/s11701-011-0244-0

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