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Robotic Sacrocolpopexy With Versus Without Supracervical Hysterectomy
Alicia Blondeau1, Margot Chommeloux2, Camille Haudebert2
1Department of Urology, University of Rennes, 2 Rue Henri Le Guilloux, 35000, Rennes, France. Blondeau.alicia@gmail.com.
International Urogynecology Journal
|July 31, 2025
Summary
Robotic sacrocolpopexy with concomitant supracervical hysterectomy (SCH) showed similar outcomes and complication rates compared to the procedure without SCH. This suggests SCH may not increase morbidity in the robotic era after initial surgical experience.
Area of Science:
- Urology
- Gynecologic Surgery
- Minimally Invasive Surgery
Background:
- Pelvic organ prolapse (POP) surgery is common in women over 80.
- Concomitant supracervical hysterectomy (SCH) during sacrocolpopexy is popular in some regions but not others.
- Robotic surgery is increasingly used for POP repair.
Purpose of the Study:
- To compare outcomes of robotic sacrocolpopexy with and without SCH.
- To evaluate the safety and efficacy of adding SCH to robotic sacrocolpopexy.
Main Methods:
- Retrospective study of 88 patients undergoing robotic sacrocolpopexy.
- Patients divided into two groups: with (HYST) and without (no HYST) SCH.
- Analysis of baseline characteristics, postoperative complications, and subjective success rates.
Main Results:
- No significant difference in postoperative complication rates between groups (16.7% vs. 18.4%).
- Similar subjective success rates after a median 12-month follow-up (96.6% vs. 92.2%).
- Higher proportion of grade 3 or 4 uterine prolapse in the HYST group at baseline.
Conclusions:
- Supracervical hysterectomy (SCH) did not demonstrate a benefit when added to robotic sacrocolpopexy.
- No increased morbidity was observed in the SCH group, suggesting it may be safe beyond the learning curve.
- Robotic sacrocolpopexy with SCH is a viable option with comparable outcomes to the procedure alone.
