title: Long-term outcomes of robotic-assisted laparoscopic sacrocolpopexy with a minimum of three years follow-up.
abstract: We describe efficacy and safety of robotic-assisted laparoscopic vaginal vault prolapse repair with long-term follow-up. We reviewed the records of 40 consecutive patients with posthysterectomy vaginal vault prolapse who underwent a robotic-assisted laparoscopic sacrocolpopexy at our institution between September 2002 and September 2006. Patient analysis focused on complications, patient satisfaction, and morbidity, with a minimum of 36 months' follow-up. Median follow-up was 62 months (range 36-84) and mean age was 67 (43-83) years. Mean operating time was 3.1 (2.15-5) h with a median operating time of 2.9 h. All but four were discharged home on postoperative day one; three patients left on postoperative day two and one left on postoperative day seven. Three developed recurrent grade 3-4 rectoceles and two vaginal extrusion of mesh. Thirty-eight of the 40 patients (95%) were satisfied with their outcome. Robotic-assisted laparoscopic sacrocolpopexy is a minimally invasive technique for vaginal vault prolapse repair, combining the advantages of open sacrocolpopexy with the decreased morbidity of laparoscopy. We found a short hospital stay, low complication rates, and high patient satisfaction with a minimum of 3 years' follow-up.
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: Mark S
authors.initials: MS
authors.lastname: Shimko
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: Eric C
authors.initials: EC
authors.lastname: Umbreit
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: George K
authors.initials: GK
authors.lastname: Chow
authors.affiliation: Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. elliott.daniel@mayo.edu.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Elliott
keywords: Laparoscopy; Robotic; Sacrocolpopexy; Vaginal vault prolapse