title: Incidence of unanticipated uterine pathology at the time of minimally invasive abdominal sacrocolpopexy.
abstract: OBJECTIVE
  To determine the incidence of unanticipated uterine pathologic findings in women undergoing hysterectomy concomitant with minimally invasive sacrocolpopexy.
  
  
  METHODS
  Retrospective case series (Canadian Task Force classification III).
  
  
  METHODS
  Four institutions in the United States.
  
  
  METHODS
  Women undergoing laparoscopic or robotically assisted sacrocolpopexy with hysterectomy.
  
  
  METHODS
  Concurrent hysterectomy and minimally invasive sacrocolpopexy.
  
  
  RESULTS
  We measured the incidence of clinically important uterine disease at minimally invasive sacrocolpopexy. A total of 324 women underwent concurrent hysterectomy and minimally invasive sacrocolpopexy. Their mean age was 56.1 years, and body mass index was 26.9 kg/m(2). Sixty-four percent were postmenopausal. Only 3 patients (0.92%) had abnormal uterine pathologic findings. No significant differences were noted in age, body mass index, or parity between the women with normal and abnormal uterine pathologic findings. None of the 3 women reported abnormal uterine bleeding before surgery. All lesions were premalignant and focal. No invasive carcinomas were identified. No patients required further follow-up or treatment of abnormal pathologic findings.
  
  
  CONCLUSIONS
  The risk of unanticipated uterine pathologic findings during minimally invasive sacrocolpopexy to treat pelvic organ prolapse is low.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia. Electronic address: uduak.umoh@uphs.upenn.edu.
authors.forename: Uduak U
authors.initials: UU
authors.lastname: Andy
authors.affiliation: Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC.
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Nosti
authors.affiliation: Metro Health Medical Center, Case Western Reserve University, Cleveland, Ohio.
authors.forename: Sarah
authors.initials: S
authors.lastname: Kane
authors.affiliation: University of Oklahoma, Oklahoma City.
authors.forename: Dena
authors.initials: D
authors.lastname: White
authors.affiliation: Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Lior
authors.initials: L
authors.lastname: Lowenstein
authors.affiliation: Medstar Washington Hospital Center, Georgetown University School of Medicine, Washington, DC.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gutman
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia.
authors.forename: Heidi S
authors.initials: HS
authors.lastname: Harvie
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D033162:Incidental Findings; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000453:epidemiology* / Q000473:pathology*
keywords: Minimally invasive sacrocolpopexy; Pelvic organ prolapsed; Unanticipated pathology