Robotic-Assisted Surgery for Pelvic Organ Prolapse: Sacrocolpopexy and Beyond

Abstract

Pelvic organ prolapse is a highly prevalent condition that can have a large impact on a patient's quality of life. Multiple approaches to surgical repair exist, each with a unique set of risks and benefits. For patients with apical prolapse, repair of the apex is the cornerstone of any surgical procedure. Since adaptation of robotic techniques to sacrocolpopexy were introduced in the early 2000s, the minimally invasive approach to sacrocolpopexy has surpassed open case volumes. Compared to native-tissue transvaginal procedures, minimally invasive sacrocolpopexy offers potential advantages in durability. This article reviews surgical techniques, troubleshooting, outcomes, and ongoing areas of development regarding the use of a robotic approach to prolapse surgery. (J GYNECOL SURG 39:25)