scholarly journals Management of pelvic organ prolapse in the elderly – is there a role for robotic-assisted sacrocolpopexy?

2016 ◽  
Vol Volume 3 ◽  
pp. 65-73 ◽  
Author(s):  
Hadley Narins ◽  
Teresa Danforth
Keyword(s):  
Pelvic Organ Prolapse ◽  
The Elderly ◽  
Pelvic Organ ◽  
Robotic Assisted

scholarly journals Robotic sacrocolpopexy for the management of pelvic organ prolapse: quality of life outcomes

2019 ◽  
Vol 11 ◽  
pp. 175628721986859
Author(s):  
Annah Vollstedt ◽  
William Meeks ◽  
Veronica Triaca
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Clinical Improvement ◽  
Pelvic Organ ◽  
Robotic Sacrocolpopexy ◽  
Robotic Assisted ◽  
Rectocele Repair ◽  
Bowel Symptoms

Background: Our aim was to investigate longer-term surgical and quality of life (QOL) outcomes in a cohort of women undergoing robotic-assisted laparoscopic sacrocolpopexy (RALS) for pelvic organ prolapse (POP). Methods: We performed a retrospective cohort study at a single institution of female patients undergoing RALS with and without concomitant robotic-assisted laparoscopic hysterectomy, urethral sling, and rectocele repair. Scores from the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) surveys were used to evaluate QOL outcomes. Clinical improvement was defined by a decrease in a patient’s PFDI and PFIQ postoperative score by ⩾70%. Results: Clinical improvement was seen in 62.6% by the PFIQ and in 64% by the PFDI survey. Younger patient age (OR 0.92, p = 0.011) and worse preoperative American Urological Association (AUA) Quality of Life score (OR 1.42, p = 0.046) were associated with clinical improvement. Within the PFIQ, 35.6% of patients saw clinical improvement with their bowel symptoms, compared with bladder (54.1%, p < 0.001) and prolapse (45.6%, p = 0.053) symptoms. Within the PFDI, 45.5% of patients reached clinical improvement with their bowel symptoms, compared with bladder (56.7%, p = 0.035) and prolapse (62.6%, p < 0.001) symptoms. Of the patients who had a rectocele repair, 46.3% reached clinical improvement in their CRADI-8 score, and 51% saw clinical improvement in the bowel portion of the PDFI. Conclusions: Significantly fewer patients reached clinical improvement within the portions of the surveys that focus on bowel symptoms, compared with symptoms related to urination and POP. Of those that had a concomitant rectocele repair, approximately half reached clinical improvement with their bowel symptoms.

Uterine Sparing Robotic-Assisted Laparoscopic Sacrohysteropexy for Pelvic Organ Prolapse: Safety and Feasibility

2013 ◽  
Vol 27 (9) ◽  
pp. 1131-1136 ◽  
Author(s):  
Ted Lee ◽  
Nirit Rosenblum ◽  
Victor Nitti ◽  
Benjamin M. Brucker
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Robotic Assisted ◽  
Laparoscopic Sacrohysteropexy

Management of Pelvic Organ Prolapse in the Elderly

2014 ◽  
Vol 4 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Erin Ohmann ◽  
Benjamin M. Brucker
Keyword(s):  
Pelvic Organ Prolapse ◽  
The Elderly ◽  
Pelvic Organ

Robotic assisted sacrocolpopexy in the surgical management of pelvic organ prolapse

2016 ◽  
Vol 15 (7) ◽  
pp. 353
Author(s):  
O.F. Karatas ◽  
A.E. Canda ◽  
A.F. Atmaca ◽  
M. Aldemir ◽  
F. Bedir ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Pelvic Organ ◽  
Robotic Assisted

Robotic-assisted Sacrocolpopexy for Pelvic Organ Prolapse

2014 ◽  
Vol 41 (4) ◽  
pp. 549-557 ◽  
Author(s):  
Wesley M. White ◽  
Ryan B. Pickens ◽  
Robert F. Elder ◽  
Farzeen Firoozi
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Robotic Assisted
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