title: Laparoscopic sacrocolpopexy for the treatment of vaginal vault prolapse: with or without robotic assistance.
abstract: OBJECTIVE
  To assess perioperative and medium-term outcome after laparoscopic sacrocolpopexy with or without robotic assistance for vaginal vault prolapse in a Hong Kong tertiary centre.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  An urogynaecology unit in Hong Kong.
  
  
  METHODS
  All women who underwent laparoscopic sacrocolpopexy with or without robotic assistance for vaginal vault prolapse from March 2005 to May 2010.
  
  
  METHODS
  The perioperative and medium-term outcomes.
  
  
  RESULTS
  A total of 36 women underwent the operation during the study period. The mean operating time was 205 minutes, mean blood loss was 144 mL. The median hospital stay was 4 days. Two women required early re-operation but recovered fully. In all, 35 women were followed up for 29 (standard deviation, 19) months. Three of them (9%) had a recurrence of stage II prolapse, but there was statistically significant improvement in the pelvic organ prolapse quantification assessment for all three compartments of the vagina, and the length of vagina was well preserved. There were no mesh exposure or erosions. The overall objective cure rate of 91% (32/35) was high, and 91% (32/35) were satisfied with the operative outcome. Stress incontinence and voiding difficulty were significantly reduced.
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy for vaginal vault prolapse is safe, although complications arising from concomitant surgery should not be neglected. High rates of objective cures and patient satisfaction were achieved. There were no mesh exposure or erosions. Laparoscopic sacrocolpopexy should be considered an option for women with vaginal vault prolapse.
authors.affiliation: Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
authors.forename: S S C
authors.initials: SS
authors.lastname: Chan
authors.forename: S M W
authors.initials: SM
authors.lastname: Pang
authors.forename: T H
authors.initials: TH
authors.lastname: Cheung
authors.forename: R Y K
authors.initials: RY
authors.lastname: Cheung
authors.forename: T K H
authors.initials: TK
authors.lastname: Chung
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D012371:Robotics