One-Year Outcomes after Minimally Invasive Sacrocolpopexy

Kimberly Kenton*, Elizabeth R. Mueller, Christopher Tarney, Catherine Bresee, Jennifer T. Anger

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Objective The primary aim of this study was to report anatomic, symptom, and quality of life outcomes in women with symptomatic stage 2 or greater prolapse 1 year after randomization to robotic and laparoscopic sacrocolpopexy. Methods This is a planned ancillary analysis of the Abdominal Colpopexy: Comparison of Endoscopic Surgical Strategies trial, a randomized comparative effectiveness trial comparing costs and outcomes of robotic and laparoscopic sacrocolpopexy at 2 academic medical centers. At baseline and 1 year after surgery, women underwent standardized assessment including validated subjective pelvic floor outcomes and physical examination with prolapse assessment. Results Sixty six (85%) of 78 randomized participants completed 1-year follow-up: 33 (87%) of 38 in the laparoscopic arm and 33 (83%) of 40 in the robotic arm (P = 0.59). Ninety-seven percent (32/33) in the laparoscopic group and 100% (33/33) in the robotic arm considered that their prolapse symptoms improved (P = 0.999). The cohort had significant improvement in all pelvic floor symptom and quality of life measures, which did not differ by treatment arm. Of women who were sexually active at 1 year, sexual function improved in both cohorts. No new serious adverse events, including mesh exposure or reoperation for prolapse, were identified between 6 months and 1 year after surgery. No women had a sacrocolpopexy mesh complication or reoperation for mesh exposure. Conclusions Minimally invasive sacrocolpopexy is associated with significant improvement in pelvic floor symptoms, anatomy, and sexual function. In addition, mesh exposure rates with lightweight polypropylene mesh seem to be lower than those reported with multifilament and heavier polypropylene mesh.

Original languageEnglish (US)
Pages (from-to)382-384
Number of pages3
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume22
Issue number5
DOIs
StatePublished - Sep 1 2016

Keywords

  • laparoscopic sacrocolpexy
  • mesh exposure
  • minimally invasive sacrocolpexy
  • outcomes
  • polypropylene mesh
  • robotic sacrocolpexy

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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