Medium-term outcomes after robotic-assisted lateral suspension with mesh for advanced multi-compartmental prolapse.

International Urogynecology Journal
Eleonora RussoTommaso Simoncini

Abstract

Robotic abdominal lateral suspension (RALS) is an innovative mini-invasive surgical technique that allows treating apical and anterior prolapse. The safety and efficacy of this strategy have not yet been tested. We completed a prospective case series of 115 RALS to treat apical and anterior prolapse stage III or IV, with no or minimal (stage I) posterior defect. Clinical evaluation was performed with a simplified POP quantification system (POP-Q). Mean follow-up was 28 ± 4 months. Primary outcomes were objective and subjective cure; secondary outcomes were reoperation rate for recurrence, erosion rate and complications. Objective cure was defined as POP-Q ≤ 1. Subjective cure was defined as absence of vaginal bulge. Patient's satisfaction was measured using the Patient Global Impression of Improvement Scale (PGI-I). There was a significant improvement in POP-Q score in all treated compartments with an objective cure rate of 88.7% for the anterior and 93.1% for the apical compartment (p < 0.0001). Subjective cure rate was 82%. The emergence of de novo high rectoceles was not significant in the cohort, as much as the development of de novo stress or urge urinary incontinence. Reoperation rate for POP was 11.3% (8 recurrent cystoc...Continue Reading

References

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Citations

Jan 3, 2021·Updates in Surgery·Gabriele NaldiniTommaso Simoncini
Aug 8, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giuseppe CampagnaAlfredo Ercoli

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Methods Mentioned

BETA
dissection
amputation

Software Mentioned

GraphPad
POP
GraphPad Prism

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