Patient Outcomes After Robotic Ventral Rectopexy With Sacrocolpopexy

Area of Science:

• Minimally invasive surgery
• Pelvic reconstructive surgery
• Surgical outcomes

Background:

• Few studies examine functional outcomes after robotic sacrocolpopexy and ventral rectopexy.
• This research addresses the need for data to counsel patients on expected results.

Purpose of the Study:

• Evaluate functional outcomes and patient satisfaction after combined robotic ventral rectopexy and sacrocolpopexy.
• Assess symptom bother, sexual function, and overall improvement using validated questionnaires.

Main Methods:

• Retrospective cohort and survey study of 107 patients (67 completing surveys).
• Utilized Pelvic Floor Disability Index 20 (PFDI-20), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), and Patient Global Impression of Improvement Scale (PGI-I).
• Data collected between January 2018 and July 2021, with median follow-up of 18 months.

Main Results:

• Mean age 63.7 years; BMI 25.0.
• Recurrence rates: 10.4% for rectal prolapse/intussusception, 7.5% for pelvic organ prolapse.
• Mean scores: PFDI-20 = 95.7, PISQ-12 = 32.8, PGI-I = 2.0.

Conclusions:

• Combined robotic ventral rectopexy and sacrocolpopexy demonstrate favorable postoperative outcomes.
• Patients reported low symptom bother and high sexual function.
• Overall patient condition was significantly improved, aiding surgical counseling.