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

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.

Department

Obstetrics and Gynecology

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