Long-term Anatomical and Functional Results of Robot-Assisted Pelvic Floor Surgery for the Management of Multicompartment Prolapse: A Prospective Study

Abstract

BACKGROUND: Long-term data on robot-assisted sacrocolporectopexy for the treatment of multicompartment pelvic organ prolapse are scarce. With the rising prevalence of prolapse and increasing surgical repair, it is essential to evaluate long-term results.OBJECTIVE: This study aimed to evaluate long-term functional and anatomic outcomes after sacrocolporectopexy.

Evaluation of the learning curve of robot-assisted laparoscopic ventral mesh rectopexy

“…Patients treated for multicompartment prolapse with robot-assisted laparoscopic sacrocolpo-rectopexy (RSCR; with or without subtotal hysterectomy) were only considered for analysis of intraoperative safety of the rectopexy part, considering the substantial extra OT and burdening imposed by the additional sacrocolpopexy and subtotal hysterectomy. The rectopexy part of this procedure is identical to RVMR and has been described previously [13,14].…”

Approaching Combined Rectal and Vaginal Prolapse

“…Most recently, van Zanten et al have published long-term outcomes of their prospective cohort of 53 patients who underwent robot-assisted sacrocolporectopexy. 5 In this cohort, the median follow-up time was 48.2 months and 10 patients had prolapse recurrence: 2 (3.8%) had vaginal apical prolapse and 8 (15.1%) had internal rectal prolapse. Two (3.8%) patients underwent rectal prolapse reoperation and one (2.0%) patient had a vaginal mesh erosion which was managed conservatively.…”

“…2 For women with both rectal and pelvic organ prolapse, multidisciplinary evaluation and treatment 3 with combined rectal prolapse and pelvic organ prolapse surgery provide significant quality-of-life benefits by improving feelings of prolapse, pain, bladder, and bowel symptoms. 4,5 The advantages of one operation include a reduced risk of anesthesia, a single hospital stay and recovery period, decreased pain medications, and less time off work for the patient.…”

Ninety‐day morbidity of robot‐assisted redo surgery for recurrent rectal prolapse, mesh erosion and pelvic pain: lessons learned from 9 years’ experience in a tertiary referral centre

“…Patients were counselled for redo RVMR or robot‐assisted resection rectopexy (RRR). An additional sacrocolpopexy was considered in cases of symptomatic multicompartment pelvic organ prolapse [ 16 ].…”

“…Patients with mesh erosion usually have symptoms of pain, dyspareunia, purulent or serosanguinous discharge and/or functional complaints [ 10 , 14 , 15 ]. Asymptomatic cases have also been described [ 15 , 16 ]. In severe cases, mesh erosion can lead to a rectovaginal fistula or spondylodiscitis.…”