title: Long-term outcomes after robotic sacrocolpopexy in pelvic organ prolapse: prospective analysis.
abstract: OBJECTIVE
  To evaluate the feasibility and long-term outcomes of our initial series of robot-assisted laparoscopic sacrocolpopexy.
  
  
  METHODS
  We conducted a prospective analysis of our series of robotic sacrocolpopexy.
  
  
  METHODS
  patients with grades III and IV cystocele and or other symptomatic pelvic organ prolapse. We performed a transperitoneal four-trocar technique with the Da Vinci robotic system using two polypropylene meshes for fixation to the sacral promontory. The primary outcome was recurrence; secondary outcomes included operating room time, blood loss, conversion to open surgery, complications and length of stay.
  
  
  RESULTS
  31 consecutive procedures were included. Mean patient age was 65.2 (50-81) years. Mean operating room time was 186 (150-230) min. We converted 1 case to laparoscopy (3.2%). There were two major complications (1 acute myocardial infarction and 1 reoperation for excess tension with syncopes), two minor complications (1 wound infection and 1 ileus) and no recurrences at a mean follow-up of 24.5 (16-33) months.
  
  
  CONCLUSIONS
  Robotic sacrocolpopexy could possibly improve with experience after overcoming the learning curve. There is no doubt it is a reproducible technique, but its safety and efficacy still need to be proven. Our initial series demonstrated good outcomes and no recurrences at 24.5 months of follow-up.
authors.affiliation: Department of Urology, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain. dr_jmoreno@hotmail.com
authors.forename: Jesús
authors.initials: J
authors.lastname: Moreno Sierra
authors.forename: Elena
authors.initials: E
authors.lastname: Ortiz Oshiro
authors.forename: Cristina
authors.initials: C
authors.lastname: Fernandez Pérez
authors.forename: Isabel
authors.initials: I
authors.lastname: Galante Romo
authors.forename: Javier
authors.initials: J
authors.lastname: Corral Rosillo
authors.forename: Sara
authors.initials: S
authors.lastname: Prieto Nogal
authors.forename: Ignacio T
authors.initials: IT
authors.lastname: Castillon Vela
authors.forename: Angel
authors.initials: A
authors.lastname: Silmi Moyano
authors.forename: J
authors.initials: J
authors.lastname: Alvarez Fernandez-Represa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery* / Q000628:therapy*; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D012371:Robotics; D025321:Surgery, Computer-Assisted / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome