Outcomes and Postoperative Complications of Robot-Assisted Laparoscopic Hysterosacropexy: Initial Experience

Urol Int. 2015;95(1):44-9. doi: 10.1159/000371726. Epub 2015 Feb 14.

Abstract

Background: Pelvic organ prolapse is a common condition, affecting about 50% of women with children. The aim of our study was to evaluate results and complication rates in a consecutive series of female patients undergoing robot-assisted laparoscopic hysterosacropexy (RALHSP).

Materials and methods: We performed a medical record review of female patients with uterine prolapse who had consecutively undergone RALHSP from February 2010 to 2013 at our department.

Results: Fifteen patients were included in the analysis. All patients had uterine prolapse stage ≥ II and urodynamic stress urinary incontinence. The mean age was 58.26 years. According to the Clavien-Dindo system, 4 out of 15 patients (26.6%) had grade 1 early complications and 1 patient had a grade 2 complication. At a median follow-up of 36 months, there was a significant prolapse relapse rate of 20% (3/15).

Conclusion: In our hands RALHSP is easy to perform, with satisfying mid-term outcomes and a low complication rate.

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Intraoperative Period
  • Laparoscopy / methods*
  • Middle Aged
  • Pelvic Organ Prolapse / surgery*
  • Postoperative Complications
  • Postoperative Period
  • Retrospective Studies
  • Robotic Surgical Procedures / methods*
  • Surgical Mesh
  • Treatment Outcome
  • Urinary Incontinence, Stress / surgery*
  • Urodynamics
  • Urologic Surgical Procedures / methods*
  • Young Adult