Robotic-Assisted Sacrocolpopexy

Overview of Robotic-Assisted Sacrocolpopexy

What Is Robotic-Assisted Sacrocolpopexy

Robotic-assisted sacrocolpopexy is a surgical procedure used to repair pelvic organ prolapse (POP), specifically involving the descent of the vagina, uterus, bladder, or rectum into the vaginal canal. During this procedure, mesh material is used to support and reinforce the prolapsed organs by attaching them to the sacrum (the triangular bone at the base of the spine).

How Is this procedure performed?

In this procedure, we make small incisions in the abdomen through which robotic arms equipped with surgical instruments and a camera are inserted. Then we use the robotic system to detach the vagina from its surrounding tissue, attach mesh to the sacrum, and suspend the vagina or other organs in their correct anatomical position.

Risks and Preparation for Robotic-Assisted Sacrocolpopexy

Is this type of sacrocolopopexy Safe?

This modern way to perform sacrocolpopexy is considered a safe and effective treatment for pelvic organ prolapse. However, like any surgical procedure, it carries certain risks. Risks may include infection, bleeding, injury to surrounding organs, urinary retention or incontinence, mesh-related complications, and anaesthesia-related risks. The overall safety of this procedure also depends on various factors, including the patient’s health.

How do I prepare for this procedure?

Preparation for this procedure involves several steps. Patients may need to undergo preoperative tests, such as blood tests and imaging studies, to evaluate their overall health and assess the extent of the prolapse. They may also need to discontinue certain medications that can increase the risk of bleeding during surgery. Additionally, patients should follow our instructions regarding dietary restrictions and fasting before the procedure.

Why might I need a Robotic-Assisted Sacrocolpopexy?

This procedure may be recommended for patients with symptomatic pelvic organ prolapse that significantly affects their quality of life. Symptoms may include vaginal bulging or pressure, urinary incontinence, difficulty emptying the bladder or bowel, and pelvic discomfort. If conservative treatments such as pelvic floor exercises or pessary use are ineffective, this procedure may be necessary to provide long-term support for the prolapsed organs.

What happens during this procedure?

During a robotic sacrocolpopexy, we use a robot to detach the vagina from surrounding tissue, attach mesh to the sacrum, and suspend the prolapsed organs in their correct anatomical position. The procedure is performed through small incisions in the abdomen, providing improved visualization and precision.

Recovery and Outlook for Robotic-assisted Sacrocolpopexy

What is the recovery time for a robotic total Sacrocolpopexy?

The recovery time for a robotic total sacrocolpopexy varies depending on individual factors such as the extent of prolapse, the patient’s overall health, and the surgical technique used. In general, most patients can expect a recovery period of about four to six weeks before returning to normal activities. However, it may take longer to be cleared for strenuous activities or heavy lifting.

When will I feel better after my procedure?

Patients typically start feeling better within a few days to a week after the procedure. Pain and discomfort gradually decrease during the recovery period, and most patients are able to resume light activities within one to two weeks. Full recovery may take several weeks, and individual experiences may vary.

What should I avoid after a robotic Sacrocolpopexy?

We advise our patients to avoid strenuous activities, heavy lifting, and vigorous exercise for several weeks to allow the body to heal properly. Patients should also refrain from driving until they are no longer taking pain medications and feel comfortable operating a vehicle. Additionally, sexual intercourse and the use of tampons may need to be avoided for a few weeks to prevent complications.

What’s the overall outlook after robotics-assisted Robotic-assisted Sacrocolpopexy?

The overall outlook after a robotic-assisted sacrocolpopexy is generally positive. Most patients experience relief from symptoms associated with pelvic organ prolapse, such as vaginal bulging, urinary incontinence, and discomfort. The procedure provides long-term support for the pelvic organs, improving quality of life for many patients.

What can you expect from recovery after robotics-assisted Robotic-assisted Sacrocolpopexy?

Recovery after this procedure involves a gradual return to normal activities over several weeks. Initially, patients may experience some pain, fatigue, and vaginal discharge. Pain medications may be prescribed to manage discomfort. Follow-up appointments with the surgeon are essential to monitor healing and address any concerns that may arise during recovery.