JOURNAL ARTICLE

Robotic abdominal sacrocolpopexy/sacrouteropexy repair of advanced female pelvic organ prolaspe (POP): utilizing POP-quantification-based staging and outcomes

Firouz Daneshgari, John C Kefer, Courtenay Moore, Jihad Kaouk
BJU International 2007, 100 (4): 875-9
17822467

OBJECTIVES: To assess the management of advanced pelvic organ prolapse (POP) with robotic-assisted abdominal sacrocolpopexy (RASC) and evaluate outcomes using the POP quantification scale (POP-Q).

PATIENTS AND METHODS: Women with symptomatic stages III and IV POP were evaluated at our institution. After complete clinical assessment, including POP-Q-based physical examination and urodynamic studies, the patients underwent RASC with or without anti-incontinence surgery in the presence (sacrouteropexy) or absence of uterus (sacrocolpopexy). Follow-up examinations at 3 and 6 months included a POP-Q-based examination.

RESULTS: Fifteen women were consented for RASC; 12 underwent successful RASC, one required conversion to laparoscopic ASC, one to open ASC, and one to transvaginal repair. The mean (range) patient age was 64 (50-79) years. Before surgery, the mean POP-Q stage was 3.1 (3-4) and the POP-Q values for the anterior (Aa, Ba), posterior (Ap, Bp) and apex (C) of the vagina were: Aa - 0.9, Ba + 1.0, Ap - 1.0, Bp + 1.3, and C +2.1. After surgery, the mean POP-Q stage was 0 and the POP-Q values had improved to Aa - 2.29, Ba - 2.29, Ap - 2.65, Bp - 2.65, and C - 8.28. The mean (range) estimated blood loss during surgery was 81 (50-150) mL. The mean hospital stay was 2.4 (1-7) days. Seven patients had concurrent placement of a mid-urethral sling and one patient had a concurrent Burch colposuspension.

CONCLUSIONS: These early results show that RASC is safe and efficacious, and that its anatomical outcomes compare favourably to the reported results for open or laparoscopic ASC.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
17822467
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"