title: Pelvic floor function before and after robotic sacrocolpopexy: one-year outcomes.
abstract: OBJECTIVE
  Estimate pelvic floor function and support 1 year after robotic sacrocolpopexy.
  
  
  METHODS
  Prospective cohort analysis of women undergoing robotic sacrocolpopexy for correction of advanced pelvic organ prolapse (Canadian Task Force Classification III). Primary outcome was pelvic floor function. Secondary outcomes included anatomic support and long-term surgical failures and complications.
  
  
  METHODS
  One university hospital in the southeastern United States.
  
  
  METHODS
  Primarily postmenopausal women (mean age 60) with advanced pelvic organ prolapse.
  
  
  METHODS
  All subjects underwent robotic sacrocolpopexy during the study period. Subjects then underwent 1-year postoperative assessment of pelvic floor function via validated condition-specific quality of life questionnaires and assessment of pelvic floor support, long-term surgical failures, and complications via physical examination.
  
  
  RESULTS
  From November 2007 to April 2009, there were 28 subjects, 25 of whom (89.3%) were evaluated. Mean time since surgery was 14.8 months. Pelvic floor function remained significantly improved over preoperative baseline: PFDI-20 (117 vs 38, p <.001), PFIQ-7 (60 vs 10, p = .001), with stable high sexual function: PISQ-12 (34 vs. 36, p = .17), and improved pelvic support on POP-Q: Ba (+3 vs -2, p = .001), Bp (+0.5 vs -1, p = .092), C (+2.25 vs -8, p = .001). Anatomic cure for vault prolapse was 100% at 1 year. There were two mesh exposures and two subsequent prolapse surgeries.
  
  
  CONCLUSIONS
  Robotic sacrocolpopexy demonstrates durable improvement in pelvic floor function and support, with high sexual function and reasonable failure and complication rates 1 year after surgery.
authors: Division of Urogynecology and Reconstructive Pelvic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7570, USA. egeller@med.unc.edu
authors: Elizabeth J
authors: EJ
authors: Geller
authors: Brent A
authors: BA
authors: Parnell
authors: Gena C
authors: GC
authors: Dunivan
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D017773:Pelvic Floor / Q000503:physiopathology*; D011446:Prospective Studies; D011788:Quality of Life; D012086:Reoperation; D012371:Robotics; D011795:Surveys and Questionnaires; D014596:Uterine Prolapse / Q000601:surgery*