Robotic Sacrocolpopexy Versus Vaginal Colpopexy With Mesh

Abstract

OBJECTIVES: : To describe patients' characteristics and anatomic outcome of robotic sacrocolpopexy (RSC) and vaginal mesh colpopexy (VMC). METHODS: : Retrospective cohort study involving RSC (n = 17) and VMC (n = 37) procedures performed over an 18 month period in a teaching hospital. The primary outcome was 1 year anatomic cure at the apex and anterior wall. Descriptive and univariate analyses were used to determine statistical significance (P < 0.05). RESULTS: : VMC subjects were more likely to be older, menopausal, and had increased BMI and more severe prolapse than the RSC group. At a mean follow-up of 13 and 12.3 months for the VMC and RSC, respectively, both groups showed significant improvement of prolapse (P < 0.001) with a cure rate of 94.1% for RSC and 70.2% for VMC (P = 0.07). Total vaginal length was significantly shorter after VMC. RSC had longer operative time and hospital stay, but lower blood loss. Complication rates were similar among the groups. CONCLUSIONS: : RSC and VMC are being offered to different patient populations. These minimally invasive prolapse repair procedures have comparable results with a trend toward higher cure rate in RSC and similar complications rate.