Robotic Sacrocolpopexy for Treatment of Prolapse of the Apical Segment of the Vagina

Abstract

Abdominal sacrocolpopexy for apical prolapse repair is the gold standard treatment and is more effective and durable than the transvaginal approach. The increase in minimally invasive surgery has led to attempts at laparoscopic sacrocolpopexy, but this technique has not gained popularity due to complex procedures and a steep learning curve. Robotic sacrocolpopexy overcomes these issues and has yielded good results for more than 15 years, with equivalent outcomes and safety to open and laparoscopic sacrocolpopexy (LSC). LSC is still a useful procedure for experienced surgeons, but it is expected that robot-assisted sacrocolpopexy (RSC) will have better results overall due to the advantages of the robotic instrument. The most important advantage is that surgeons who are inexperienced with minimally invasive approaches can more readily master RSC compared to overcoming the steep learning curve of LSC.