title: Subjective and objective results 1 year after robotic sacrocolpopexy using a lightweight Y-mesh.
abstract: OBJECTIVE
  The objective of this study was to assess outcomes following robotic sacrocolpopexy using a lightweight polypropylene Y-mesh.
  
  
  METHODS
  During our study period, all patients who underwent robotic sacrocolpopexy were enrolled in this single-arm prospective trial. Endpoints included Pelvic Organ Prolapse Quantification (POP-Q) values; Pelvic Floor Distress Inventory, short form 20 (PFDI-20); Pelvic Floor Impact Questionnaire, short form 7 (PFIQ-7); Surgical Satisfaction scores; and the Sandvik Incontinence Severity Index. All surgeries were performed with a pre-configured monofilament type 1 polypropylene Y-mesh (Alyte©, C.R. Bard, Covington, GA, USA). Cure rates at 12 months were calculated using two separate definitions: (1) "clinical cure": no POP-Q points > 0, point C ≤ -5, no prolapse symptoms on the PFDI-20, and no reoperations for prolapse and (2) "objective anatomic cure": POP-Q stage 0 or 1, point C of ≤ -5, and no reoperations for prolapse.
  
  
  RESULTS
  A total of 150 patients underwent robotic sacrocolpopexy and 143 (95 %) were available for 12-month follow-up. Mean age was 58.6 ± 9.8 and mean body mass index was 26.3 ± 4.5. Mean operative time and blood loss were 148 ± 27.6 min (range 75-250 min) and 51.2 ± 32, respectively. There were no mesh erosions or exposures, and mesh edges were not palpable in any patient. At 12 months the clinical cure rate was 95 %, and the objective anatomic cure rate was 84 %. The PFDI-20 mean score improved from 98 at baseline to 17 at 12 months (p < 0.0001); PFIQ-7 scores improved from 59 to 6.5 (p < 0.0001).
  
  
  CONCLUSIONS
  Robotic sacrocolpopexy using this lightweight polypropylene Y-mesh offers excellent subjective and objective results at 1 year.
authors.affiliation: Atlantic Health System, Urogynecology and Pelvic Reconstructive Surgery, 435 South Street, Suite 370, Morristown, NJ, 07960, USA, patrick.culligan@atlantichealth.org.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Culligan
authors.forename: Emil
authors.initials: E
authors.lastname: Gurshumov
authors.forename: Christa
authors.initials: C
authors.lastname: Lewis
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Priestley
authors.forename: Jodie
authors.initials: J
authors.lastname: Komar
authors.forename: Nihar
authors.initials: N
authors.lastname: Shah
authors.forename: Charbel G
authors.initials: CG
authors.lastname: Salamon
mesh_terms: D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D011446:Prospective Studies; D065287:Robotic Surgical Procedures; D012447:Sacrum; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods; D014621:Vagina / Q000601:surgery*
chemical_list: D011126:Polypropylenes