Robot-assisted sacrocolpopexy for recurrent pelvic organ prolapse: Insights for a challenging surgical setting

Authors

• Thomas Dabreteau, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne Université, CNRS UMR 7222, INSERM U1150, Institut des Systèmes Intelligents et Robotique (ISIR), Paris 75005, France.
• Romain Delangle, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France.
• Henri Azaïs, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France.
• Véronique Phé, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Urology, Pitié-Salpêtrière Academic Hospital, Paris 75013, France.
• Gaby Moawad, Department of Obstetrics and Gynecology, George Washington University, 900 23rd St NW, Washington, DC 20037, United States of America.
• Catherine Uzan, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne University, Cancer Biology and Therapeutics, Centre de Recherche Saint-Antoine (CRSA), INSERM UMR_S_938, Paris 75020, France.
• Geoffroy Canlorbe, Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne University, Cancer Biology and Therapeutics, Centre de Recherche Saint-Antoine (CRSA), INSERM UMR_S_938, Paris 75020, France. Electronic address: geoffroy.canlorbe@aphp.fr.

Document Type

Journal Article

Publication Date

6-1-2022

Journal

Journal of gynecology obstetrics and human reproduction

Volume

51

Issue

6

DOI

10.1016/j.jogoh.2022.102380

Keywords

Minimally invasive surgery; Pelvic organ prolapse, Robot-assisted laparoscopy; Recurrence; Sacrocolpopexy

Abstract

BACKGROUND: No consensus exists regarding the management of recurrent pelvic organ prolapse (POP). The aim of this study was to evaluate robot-assisted laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse (POP), and to investigate postoperative outcomes. METHODS: We conducted a single-center retrospective study including 10 consecutive patients who underwent a robot-assisted sacrocolpopexy for symptomatic POP recurrence from February 2017 to December 2019. Recurrence rates and patient satisfaction, measured by the Pelvic Floor Impact Questionnaire (PFIQ-7) were recorded. RESULTS: Median age was 57 years (IQR: 54-67). No intraoperative complications were reported. The median hospital stay after surgery was 2 nights (IQR: 1-4). Two patients (20%) experienced early recurrence: at 1 month for one and at 4.5 months for the other. The median follow-up for the remaining eight patients was 18 months (IQR: 12-23). Among the recurrence-free patients, the median PFIQ-7 score was 11.4 at 12 months. CONCLUSIONS: Robot-assisted sacrocolpopexy is feasible and safe for the management of POP recurrence, with a high patient satisfaction.

APA Citation

Dabreteau, Thomas; Delangle, Romain; Azaïs, Henri; Phé, Véronique; Moawad, Gaby; Uzan, Catherine; and Canlorbe, Geoffroy, "Robot-assisted sacrocolpopexy for recurrent pelvic organ prolapse: Insights for a challenging surgical setting" (2022). GW Authored Works. Paper 1203.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/1203

Department

Obstetrics and Gynecology