Large study: Robotic prolapse repair safe, durable
Most operative, postoperative complications minor, researchers report
Royal Oak, MI—A robot-assisted abdominal approach to pelvic organ prolapse repair has a favorable safety profile and is associated with durable anatomic outcomes, findings of a retrospective chart review indicate.
Commentary: Robotics finding a role in prolapse repair
Women underwent the procedure at a large teaching institution, Beaumont Hospital in Royal Oak, MI.
The series included 197 consecutive women operated on between 2007 and 2014 by surgeons with fellowship training in female pelvic medicine and reconstructive surgery. With the exception of six women (3%) who had a hysteropexy and one woman (0.5%) who had enterocele repair, all of the other procedures were sacrocolpopexy. Follow-up for the cohort averaged almost 14 months; 187 women had documented exams at 1 month and 123 women had follow-up beyond 6 months.
Analyses of the extracted data showed most operative and postoperative complications were minor. The rate of anatomic failure, defined by presence of grade 2 or 3 prolapse on follow-up, was about 24%, and when considering only women followed longer than 6 months, the mesh exposure rate was 9.8%, reported first author Michael Ehlert, MD, at the AUA annual meeting in New Orleans.