Pelvic Prolapse Surgery
One out of 9 women who experience pelvic prolapse—a condition that occurs when the pelvic organs shift from their normal location due to weak pelvic organs—may need surgery, according to the International Urogynecological Association. For women who need surgery, Foothills Urology offers minimally invasive sacrocolpopexy, including da Vinci® robotic-assisted pelvic prolapse surgery.
Sacrocolpopexy is surgery that uses mesh, graft, or a synthetic material to restore the pelvic organs that have shifted as a result of uterine or vaginal vault prolapse.
Pelvic prolapse surgery successfully treats 78% to 100% of women, according to a review of 64 studies.
Performed by most urologists as an open surgery with an abdominal incision, Foothills Urology surgeons are specially trained in performing minimally invasive pelvic prolapse surgery, particularly robotic-assisted da Vinci® surgery. The robot provides a magnified 3D high-definition vision system that enables surgeons to operate with more precision, nimbleness, and control. Dr. Diane Hartman, Denver's only full-time female urologist, has been performing minimally invasive sacrocolpopexy for more than 10 years and has extensive experience performing da Vinci robotic-assisted procedures.
Minimally invasive pelvic prolapse surgery typically results in less blood loss, a shorter hospital stay, and faster recovery with less pain than a traditional open surgery.
Results of Robotic Sacrocolpopexy
Robotic-assisted sacrocolpopexy offers the following potential benefits when compared to traditional open surgery:
Robotic sacrocolpopexy also offers benefits compared to traditional laparoscopic surgery:
- Shorter operation4
- Less blood loss4
- Shorter duration with catheter4
Additional potential benefits of robotic-assisted sacrocolpopexy include:
- Low rate of complications5,6
- High sexual function5
- Improved urinary, bowel, and pelvic symptoms5
Am I a Candidate for Sacrocolpopexy?
Women who have moderate to severe uterine or vaginal vault prolapse may benefit from surgery. Women who have had a hysterectomy can also be candidates for sacrocolpopexy. At Foothills Urology, we recommend conservative treatment for pelvic prolapse surgery whenever possible, so it’s important to discuss the pros and cons of sacrocolpopexy with your urologist.
What is Involved in Sacrocolpopexy?
Our experienced urologists at Foothills Urology have performed many sacrocolpopexy surgeries and will walk you through every step of the procedure prior to your surgery. Similar to laparoscopy, you will be put under general anesthesia. The surgeon will perform surgery through a few tiny incisions in the abdomen using the robot to guide instruments to secure mesh in place to prevent pelvic organs from shifting or sagging.
The surgery generally lasts one to two hours. Patients typically spend one night in the hospital and can often resume normal activities within a week.
The board-certified urologists at Foothills Urology are available to meet with you and talk through the advantages and disadvantages of sacrocolpopexy. You also can find additional information on pelvic prolapse and surgical treatments by downloading this guide from the International Urogynecological Association or learn more about da Vinci robotic sacropolpexy by visiting the da Vinci website and downloading their resources.
- Geller EJ, Siddiqui NY, Wu JM, Visco AG. Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy. Obstetrics & Gynecology. 2008;112:1201–6.
- Siddiqui NY, Geller EJ, Visco AG. Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy. Am J Obstet Gynecol. 2012 May;206(5):435.e1-5. Epub 2012 Feb 1.
- Hoyte L, Rabbanifard R, Mezzich J, Bassaly R, Downes K. Cost analysis of open versus robotic-assisted sacrocolpopexy. Female Pelvic Med Reconstr Surg. 2012 Nov-Dec;18(6):335-9. doi: 10.1097/SPV.0b013e318270ade3.
- Seror J, Yates DR, Seringe E, Vaessen C, Bitker MO, Chartier-Kastler E, Rouprêt M. Prospective comparison of short-term functional outcomes obtained after pure laparoscopic and robot-assisted laparoscopic sacrocolpopexy. World J Urol. 2012 Jun;30(3):393-8. Epub 2011 Aug 20.
- Geller EJ, Parnell BA, Dunivan GC. Pelvic floor function before and after robotic sacrocolpopexy: one-year outcomes. J Minim Invasive Gynecol. 2011 May-Jun;18(3):322-7. Epub 2011 Apr 1.
- Elliott DS, Krambeck AE, Chow GK. Long-term results of robotic assisted laparoscopic sacrocolpopexy for the treatment of high grade vaginal vault prolapse. J Urol. 2006 Aug;176(2):655-9.