Sacrocolpopexy for Pelvic Organ Prolapse

Background: Supracervical robotic-assisted laparoscopic sacrocolpopexy (SRALS) is a new surgical treatment for pelvic organ prolapse that secures the cervical remnant to the sacral promontory. We present our initial experience with SRALS in the same setting as supracervical robotic-assisted hysterectomy (SRAH). Methods: Women with vaginal vault prolapse and signif-icant apical defects as defined by a Baden-Walker score of 3 who had not undergone hysterectomy were offered SRALS in combination with SRAH. A chart review was performed to analyze operative and perioperative data. Outcome data also included patients who underwent ro-botic-assisted laparoscopic sacrocolpopexy (RALS) with-out any other procedure. Results: Thirty-three patients underwent RALS, including 12 patients who underwent SRALS. All SRALS were per-formed following SRAH in the same setting. The mean follow-up for the RALS and SRALS patients was 38.4 months and 20.7 months, respectively. One patient in the RALS group had an apical recurrence. There were no recurrences in the SRALS group. Conclusions: SRALS is effective for repair of apical vag-inal defects in patients with significant pelvic organ pro-lapse who have not undergone previous hysterectomy. Complications are few and recurrences rare in short- and medium-term follow-up. Greater follow-up and numbers are needed to further establish the role of this procedure