Robot-assisted sacrocolpopexy: description and video

Pelvic organ prolapse is a common problem faced by many women, resulting in significant morbidity and negatively impacting quality of life. Sacrocolpopexy can treat women with vaginal vault prolapse, multicompartment prolapse, and/or a history of failed prolapse procedures. The transabdominal sacrocolpopexy has been shown, on multiple studies, to have one of the highest long-term success rates for repair of severe vault prolapse. The goals of surgical repair of vaginal vault prolapse include restoration of proper anatomy, maintenance of sexual function, and durability. Recently, there has been a push toward decreasing morbidity and recovery time associated with operative repair. Therefore, the robot-assisted sacrocolpopexy was developed and has gained widespread acceptance, given the excellent reproducible results, minimal complications, and high patient satisfaction. Our technique for robot-assisted sacrocolpopexy is presented.