1385 Long-Term Durability of Robotic-Assisted Laparoscopic Sacrocolpopexy With a Minimum of Three Years Follow Up

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Pelvic Prolapse1 Apr 20101385 LONG-TERM DURABILITY OF ROBOTIC-ASSISTED LAPAROSCOPIC SACROCOLPOPEXY WITH A MINIMUM OF THREE YEARS FOLLOW UP Mark Shimko, Eric Umbreit, George Chow, and Daniel Elliott Mark ShimkoMark Shimko More articles by this author , Eric UmbreitEric Umbreit More articles by this author , George ChowGeorge Chow More articles by this author , and Daniel ElliottDaniel Elliott More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1035AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Transabdominal sacrocolpopexy is a definitive treatment option for vaginal vault prolapse with durable success rates. However, it is associated with increased morbidity compared with vaginal repairs. We describe our minimally invasive technique of vaginal vault prolapse repair and present our experience with a minimum of three years follow-up. METHODS We reviewed the charts of 65 consecutive patients who underwent a robot-assisted laparoscopic sacrocolpopexy between September of 2002 and September of 2006. This is a continuation of a previously described cohort with more patients and longer follow up. Patient analysis focused on complications, patient satisfaction, and morbidity of patients with a minimum of 36 months follow-up. RESULTS 65 patients with posthysterectomy vaginal vault prolapse underwent robotic-assisted laparoscopic sacrocolpopexy at our institution and 40 have a minimum of 36 months follow-up. Among this subset, mean follow-up was 59 months (range 36-84) and mean age was 67 (43-83) years. Mean operative time was 3.1 (2.15-5) hours. All but two were discharged home on postoperative day one; one patient left on postoperative day two and one left on postoperative day 7. Three developed recurrent grade 3-4 rectoceles, one had recurrent vault prolapse, and 2 vaginal extrusion of mesh. All patients were satisfied with their outcome. CONCLUSIONS The 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 decreased hospital stay, low complication rates, and high patients' satisfaction with a minimum of three years follow-up. Rochester, MN© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e535-e536 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Shimko More articles by this author Eric Umbreit More articles by this author George Chow More articles by this author Daniel Elliott More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...