Patient Outcomes After Robotic Ventral Rectopexy With Sacrocolpopexy

James H Ross; Meng Yao; Shannon L Wallace; Marie Fidela R Paraiso; Sarah A Vogler; Katie Propst; Cecile A Ferrando

doi:10.1097/SPV.0000000000001412

Patient Outcomes After Robotic Ventral Rectopexy With Sacrocolpopexy

Urogynecology (Phila). 2024 Apr 1;30(4):425-432. doi: 10.1097/SPV.0000000000001412. Epub 2023 Sep 22.

Authors

James H Ross¹, Meng Yao², Shannon L Wallace¹, Marie Fidela R Paraiso¹, Sarah A Vogler³, Katie Propst⁴, Cecile A Ferrando¹

Affiliations

¹ From the Center for Urogynecology and Pelvic Reconstructive Surgery, Women's Health Institute.
² Quantitative Health Sciences, Cleveland Clinic.
³ Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Port St Lucie.
⁴ Urogynecology and Reconstructive Pelvic Surgery, Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL.

PMID: 37737838
DOI: 10.1097/SPV.0000000000001412

Abstract

Importance: As few studies exist examining postoperative functional outcomes in patients undergoing robotic sacrocolpopexy and ventral rectopexy, results from this study can help guide surgeons in counseling patients on their outcomes.

Objective: The aim of the study was to evaluate functional outcomes and overall postoperative satisfaction as measured by the 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) in patients who underwent combined robotic ventral rectopexy and sacrocolpopexy for concomitant pelvic organ prolapse (POP) and rectal prolapse or intussusception (RP/I).

Methods: This was a retrospective cohort and survey study of patients with combined POP and RP/I who underwent the previously mentioned surgical repair between January 2018 and July 2021. Each patient was contacted to participate in a survey evaluating postoperative symptoms related bother, sexual function, and overall satisfaction using the PFDI-20, PISQ-12, and PGI-I.

Results: A total of 107 patients met study inclusion criteria with 67 patients completing the surveys. The mean age and body mass index were 63.7 ± 11.5 years and 25.0 ± 5.4, respectively. Of the patients, 19% had a prior RP repair and 23% had a prior POP repair. Rectal prolapse or intussusception recurrence was reported in 10.4% of patients and objective POP recurrence was found in 7.5% of patients. Sixty-seven patients (62%) completed the surveys. The median time to survey follow-up was 18 (8.8-51.8) months. At the time of survey, the mean PFDI-20 score was 95.7 ± 53.7. The mean PISQ-12 score for all patients was 32.8 ± 7.2 and the median PGI-I score was 2.0 (interquartile range, 1.0-3.0).

Conclusions: In this cohort of patients who underwent a combined robotic ventral rectopexy and sacrocolpopexy, patient-reported postoperative symptom bother was low, sexual function was high, and their overall condition was much improved.

MeSH terms

Humans
Intussusception* / etiology
Pelvic Organ Prolapse* / surgery
Rectal Prolapse* / surgery
Retrospective Studies
Robotic Surgical Procedures* / adverse effects
Treatment Outcome