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Cosmesis and Body Image After Robotic Sacrocolpopexy
Sarah Ashmore1, Kimberly Kenton2, Alesha Kotian3
1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL, USA. sleilaniashmore@gmail.com.
International Urogynecology Journal
|April 1, 2026
Summary
Patient satisfaction with surgical scars after robotic sacrocolpopexy is high, with no significant differences in body image or cosmesis between single-port (SP) and traditional multiport (TMP) approaches.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Patient satisfaction with surgical scars after robotic sacrocolpopexy remains under-explored.
- Assessing body image and cosmesis is crucial for overall patient well-being post-surgery.
Purpose of the Study:
- To compare patient perceptions of body image and surgical cosmesis between single-port (SP) and traditional multiport (TMP) robotic sacrocolpopexy.
- To evaluate satisfaction with surgical scars following these procedures.
Main Methods:
- A prospective cohort study included 114 women undergoing robotic sacrocolpopexy (SP or TMP).
- The Body Image Questionnaire (BIQ) assessed body image, cosmesis, and self-confidence at 3 months post-surgery.
- Preoperative and postoperative self-confidence scores were compared.
Main Results:
- No significant differences were found in body image (p=0.55) or cosmetic scale scores (p=0.17) between SP and TMP groups.
- Changes in self-confidence scores post-surgery were also similar between the two approaches (p=0.14).
- Overall patient satisfaction with surgical scars was high for both techniques.
Conclusions:
- Robotic sacrocolpopexy, regardless of port number (SP vs. TMP), leads to high patient satisfaction with surgical scar appearance.
- Both SP and TMP approaches offer comparable outcomes regarding body image and cosmesis.
- Further research can focus on long-term aesthetic outcomes and patient-reported satisfaction.
