V02-06 a Technique for Combined Robotic Sacrocolpopexy and Ventral Mesh Rectopexy

You have accessJournal of UrologyFemale Voiding Dysfunction/ Pelvic Floor Disorders/ Incontinence/ Neuro-Urology (V02)1 May 2024V02-06 A TECHNIQUE FOR COMBINED ROBOTIC SACROCOLPOPEXY AND VENTRAL MESH RECTOPEXY Sabrina L. Stair, Jennifer Kaplan, Vlad Simianu, Una Lee, and Cristina Palmer Sabrina L. StairSabrina L. Stair , Jennifer KaplanJennifer Kaplan , Vlad SimianuVlad Simianu , Una LeeUna Lee , and Cristina PalmerCristina Palmer View All Author Informationhttps://doi.org/10.1097/01.JU.0001008636.33664.3e.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic sacrocolpopexy (RSCP) is a minimally invasive treatment for pelvic organ prolapse (POP). Many women with POP have comorbid rectoceles or rectal prolapse which contribute to defecatory dysfunction. Robotic ventral mesh rectopexy is a minimally invasive treatment for anatomical correction of rectocele or rectal prolapse. The objective of this video is to present a technique for combined RSCP and ventral mesh rectopexy. METHODS: We recorded a combined RSCP and ventral mesh rectopexy. The highlights and critical portions of the case have been illustrated and described. RESULTS: The surgical robotic is docked using standard pelvic port orientation. The surgery begins with a dissection of the sacrum to reveal the anterior longitudinal ligament of the spine. The dissection is continued down toward the rectovaginal septum and finishes at the pelvic floor. A separate anterior vaginal dissection is performed. A Y-mesh is tailored to the patient's pelvic floor. The mesh is secured to the vagina, rectum, and pelvic floor musculature. Using a vaginal sizer, the pelvic organs are appropriately tensioned to anterior longitudinal ligament of the spine to reduce the prolapse. The peritoneum is reapproximated over the mesh. Cystoscopy and flexible sigmoidoscopy are performed to ensure no injury to the bladder or rectum. CONCLUSIONS: Combined RSCP and ventral mesh rectopexy is a minimally invasive technique to address POP. It is used for women with combined vaginal and rectal prolapse, or with vaginal prolapse with a large rectocele component. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e101 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sabrina L. Stair More articles by this author Jennifer Kaplan More articles by this author Vlad Simianu More articles by this author Una Lee More articles by this author Cristina Palmer More articles by this author Expand All Advertisement PDF downloadLoading ...