Pelvic prolapse occurs when a pelvic organ, such as your vagina or uterus slips out of its normal position. Surgery to correct this condition is called sacrocolpopexy. During surgery, doctors use surgical mesh to keep your pelvic organ(s) in the correct spot and ease your symptoms.
Pelvic prolapse surgery can be done with open surgery through one large incision (cut). It can also be done with minimally invasive surgery using traditional laparoscopy or da Vinci Surgery.
Why da Vinci Surgery?
The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- A 3D HD view inside your body
- Special wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
da Vinci Sacrocolpopexy offers the following potential benefits compared to open surgery:
- Lower rate of complications 1,2
- Less estimated blood loss 1,2,3
- Similar rate of blood transfusions 1
- Shorter hospital stay 1
da Vinci Sacrocolpopexy offers the following potential benefits compared to traditional laparoscopy:
- Similar rate of complications 1,2,4,5
- Similar rate of blood transfusions 1,4
- Similar or less estimated blood loss 1,2,4
- Similar or shorter hospital stay 1,2,5,6
- Similar conversion rate (switch to open surgery) 1,2,6
A sacrocolpopexy can also be done after a hysterectomy (removal of uterus) to provide long-term support for the vagina.7 The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Sacrocolpopexy (pelvic prolapse surgery):mesh erosion/infection caused by mesh moving from vaginal wall into surrounding organs causing the need for another operation, injury to rectum/bowel, injury to bladder (organ that holds urine), injury to the ureters (the ureters drain urine from the kidney into the bladder), front wall of the rectum pushes into the back wall of the vagina, prolapsed bladder (bladder budges into vagina when supportive tissue weakens), vaginal incision opens or separates, loss of bladder control, pooling of blood between bladder and pubic bone, pooling of blood between the anus and vagina.
1. Serati M, et al; 2014. Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review and Meta-Analysis of Comparative Studies. European Urology. 66:202-318.
2. Nosti Patrick A., Uduak Umoh Andy, Sarah Kane, Dena E. White, Heidi S. Harvie, Lior Lowenstein, and Robert E. Gutman.. “Outcomes of Abdominal and Minimally Invasive Sacrocolpopexy.” Female Pelvic Medicine & Reconstructive Surgery 20.1 (2014): 33-37.
3. Siddiqui Nazema Y., Elizabeth J. Geller, and Anthony G. Visco. Symptomatic and Anatomic 1-year Outcomes after Robotic and Abdominal Sacrocolpopexy. American Journal of Obstetrics and Gynecology 206.5 (2012): 435.e1-35.e5.
4. Anger JT, et al; 2014. Robotic Compared with Laparoscopic Sacrocolpopexy. A Randomized Controlled Trial. Obstetrics & Gynecology. 123(1)5-12.
5. Flack CK, et al; 2015. National Trends in the Performance of Robot-Assisted Sacrocolpopexy. J Endourology Jul;29(7):777-83. doi: 10.1089/end.2014.0710. Epub 2015 Mar 10.
6. Paraiso MF, et al; 2011. Laparoscopic Compared with Robotic Sacrocolpopexy for Vaginal Prolapse. A Randomized Controlled Trial. Obstetrics & Gynecology. 118(5)1005-1013.
7. National Institutes of Health. Uterine Prolapse. Available from: www.nlm.nih.gov/medlineplus/ency/article/001508.htm