Robot-assisted laparoscopic sacral colpopexy: initial experience in a high-volume laparoscopic reference center

Area of Science:

• Urogynecology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Urogenital prolapse affects numerous women, impacting quality of life.
• Traditional surgical approaches include open and laparoscopic procedures.
• There is a need for effective and safe treatment options.

Purpose of the Study:

• To detail the surgical technique of robot-assisted sacral colpopexy (RASCP).
• To evaluate the feasibility and safety of RASCP.
• To assess RASCP in a high-volume laparoscopic center.

Main Methods:

• 12 women with symptomatic urogenital prolapse underwent RASCP.
• Preoperative assessment included detailed urological and gynecological evaluations.
• One surgeon performed all procedures.

Main Results:

• Mean operative time was 144 minutes.
• No conversions to open or laparoscopic surgery were required.
• Mean follow-up was 19.1 months with no prolapse recurrence.

Conclusions:

• RASCP is a viable alternative to open and laparoscopic surgery for urogenital prolapse.
• The procedure achieves anatomical repositioning of pelvic organs.
• Short-term outcomes and complication rates are comparable to established techniques.