TY - JOUR
T1 - Long-term outcomes of robotic mesh sacrocolpopexy
AU - Jong, Karen
AU - Klein, Ted
AU - Zimmern, Philippe E.
N1 - Publisher Copyright:
© 2017, Springer-Verlag London Ltd.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - The aim of the study is to evaluate anatomic and functional late-term outcomes of robotic mesh sacrocolpopexy (RMS) at a single tertiary-care institution. Following IRB approval, a retrospective chart review of a prospectively collected database on consecutive patients who underwent RMS for symptomatic pelvic organ prolapse and had 3 year minimum follow-up was performed. Data collected included physical examination, validated questionnaires including Urogenital Distress Inventory, Incontinence Impact Questionnaire, and global Quality of Life (QOL). The primary outcome was failure defined as the need for re-operation and/or prolapse recurrence by examination. Those with office follow-up < 36 months underwent structured phone interviews. Between 12/2007 and 2/2012, 56 women underwent RMS. Thirty women had follow-up ≥ 3 years (median 64 (IQR 48–85) months). Mean C-point went from − 2.33 (range 0 to − 5) to − 9.00 (0 to − 12) (p < 0.01), and mean QOL score from 3.93 (0–10) to 1.93 (0–8) (p < 0.01). Two developed recurrent vault prolapse later on at 26 and 34 months, respectively. Four women (13%) required surgery for secondary prolapses, with three for anterior compartment and one for posterior compartment. Sixteen of twenty six were contacted via structured phone interviews, with 14 doing well, one deceased, and one who underwent a secondary posterior compartment prolapse 6 years later at an outside facility. This long-term study indicates durability for RMS in the management of symptomatic pelvic organ prolapse.
AB - The aim of the study is to evaluate anatomic and functional late-term outcomes of robotic mesh sacrocolpopexy (RMS) at a single tertiary-care institution. Following IRB approval, a retrospective chart review of a prospectively collected database on consecutive patients who underwent RMS for symptomatic pelvic organ prolapse and had 3 year minimum follow-up was performed. Data collected included physical examination, validated questionnaires including Urogenital Distress Inventory, Incontinence Impact Questionnaire, and global Quality of Life (QOL). The primary outcome was failure defined as the need for re-operation and/or prolapse recurrence by examination. Those with office follow-up < 36 months underwent structured phone interviews. Between 12/2007 and 2/2012, 56 women underwent RMS. Thirty women had follow-up ≥ 3 years (median 64 (IQR 48–85) months). Mean C-point went from − 2.33 (range 0 to − 5) to − 9.00 (0 to − 12) (p < 0.01), and mean QOL score from 3.93 (0–10) to 1.93 (0–8) (p < 0.01). Two developed recurrent vault prolapse later on at 26 and 34 months, respectively. Four women (13%) required surgery for secondary prolapses, with three for anterior compartment and one for posterior compartment. Sixteen of twenty six were contacted via structured phone interviews, with 14 doing well, one deceased, and one who underwent a secondary posterior compartment prolapse 6 years later at an outside facility. This long-term study indicates durability for RMS in the management of symptomatic pelvic organ prolapse.
KW - Long-term results
KW - Mesh sacrocolpopexy
KW - Pelvic prolapse
KW - Robotic surgery
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U2 - 10.1007/s11701-017-0757-2
DO - 10.1007/s11701-017-0757-2
M3 - Article
C2 - 28980173
AN - SCOPUS:85030548659
SN - 1863-2483
VL - 12
SP - 455
EP - 460
JO - Journal of Robotic Surgery
JF - Journal of Robotic Surgery
IS - 3
ER -