Robot-assisted sacrocolpopexy for recurrent pelvic organ prolapse: Insights for a challenging surgical setting

Thomas Dabreteau; Romain Delangle; Henri Azaïs; Véronique Phé; Gaby Moawad; Catherine Uzan; Geoffroy Canlorbe

doi:10.1016/j.jogoh.2022.102380

Robot-assisted sacrocolpopexy for recurrent pelvic organ prolapse: Insights for a challenging surgical setting

J Gynecol Obstet Hum Reprod. 2022 Jun;51(6):102380. doi: 10.1016/j.jogoh.2022.102380. Epub 2022 Apr 11.

Authors

Thomas Dabreteau¹, Romain Delangle², Henri Azaïs², Véronique Phé³, Gaby Moawad⁴, Catherine Uzan⁵, Geoffroy Canlorbe⁶

Affiliations

¹ Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne Université, CNRS UMR 7222, INSERM U1150, Institut des Systèmes Intelligents et Robotique (ISIR), Paris 75005, France.
² Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France.
³ Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Urology, Pitié-Salpêtrière Academic Hospital, Paris 75013, France.
⁴ Department of Obstetrics and Gynecology, George Washington University, 900 23rd St NW, Washington, DC 20037, United States of America.
⁵ Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne University, Cancer Biology and Therapeutics, Centre de Recherche Saint-Antoine (CRSA), INSERM UMR_S_938, Paris 75020, France.
⁶ Sorbonne University, Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, Paris 75013, France; Sorbonne University, Cancer Biology and Therapeutics, Centre de Recherche Saint-Antoine (CRSA), INSERM UMR_S_938, Paris 75020, France. Electronic address: geoffroy.canlorbe@aphp.fr.

PMID: 35421592
DOI: 10.1016/j.jogoh.2022.102380

Abstract

Background: No consensus exists regarding the management of recurrent pelvic organ prolapse (POP). The aim of this study was to evaluate robot-assisted laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse (POP), and to investigate postoperative outcomes.

Methods: We conducted a single-center retrospective study including 10 consecutive patients who underwent a robot-assisted sacrocolpopexy for symptomatic POP recurrence from February 2017 to December 2019. Recurrence rates and patient satisfaction, measured by the Pelvic Floor Impact Questionnaire (PFIQ-7) were recorded.

Results: Median age was 57 years (IQR: 54-67). No intraoperative complications were reported. The median hospital stay after surgery was 2 nights (IQR: 1-4). Two patients (20%) experienced early recurrence: at 1 month for one and at 4.5 months for the other. The median follow-up for the remaining eight patients was 18 months (IQR: 12-23). Among the recurrence-free patients, the median PFIQ-7 score was 11.4 at 12 months.

Conclusions: Robot-assisted sacrocolpopexy is feasible and safe for the management of POP recurrence, with a high patient satisfaction.

Keywords: Minimally invasive surgery; Pelvic organ prolapse, Robot-assisted laparoscopy; Recurrence; Sacrocolpopexy.

MeSH terms

Humans
Laparoscopy*
Middle Aged
Pelvic Organ Prolapse* / surgery
Retrospective Studies
Robotics*
Treatment Outcome