Robotic Sacrocolpopexy: Results, Complications and Evaluation of Impact on Quality of Life

Moreno Sierra J, Ciappara Paniagua M, Ruiz León MA, Fernandez Montarroso L, Resel Folkersma L, Galante Romo MI, Fernandez Perez C and Redondo Gonzalez E

Department of Urology, Institute of Health Research, Hospital San Carlos Hospital, Complutense University of Madrid, Spain

^*Correspondance to: Moreno-Sierra J 

 PDF  Full Text DOI: 10.25107/2474-1647.2143

Abstract

Introduction: Robotic surgery for pelvic organ prolapse provides the advantages of laparoscopic approach with a shorter learning curve and an improvement of the surgeon ergonomic. The main objective is to describe our series providing an analysis of intra/postoperative complications and as secondary objective to analyze the improvement in Quality of Life (QoL).
Materials and Methods: Prospective longitudinal study. Mean age, Body Mass Index (BMI), POP-Q stage, length hospital stay, operative time, surgical blood loss, intraoperative/postoperative complications according Clavien-Dindo classification, recurrence rate and EPIQ questionnaire score before and 6 months after surgery. Qualitative variables were analyzed by Chi-square test or Fisher Test and quantitative variables by T-Student test and ANOVA (SPSS 15.0).Results: From 2006 to 2011 49 RASC were performed with a follow up of 25.5 months (SD 13.7), TOT was performed in 35 patients due to stress urinary incontinence. Five patients had intraoperative complications (10.1%). One presented a bleeding of the middle sacral artery, 3 bladder perforations and one vaginal perforation. Most frequent Clavien-Dindo postoperative complications were grade I and II (32.6% and 10.2%). Three grade IIIB complications (6.1%) were described. One mesh exposure, a relapsing vasovagal syncope due to an excessive tension of the mesh and a trocar hernia. The recurrence rate was 14.9% (7 patients) QoL scores improved in all categories except in functional defecation disorders and anal incontinence.Conclusion: RASC has a low rate of complications with good anatomical results providing a significant improvement in QoL. High grade Clavien-Dindo complications and recurrence were factors that influenced in QoL.

Keywords

Robotic Sacrocolpopexy; EPIQ; QoL; RASC

Cite the article

Moreno Sierra J, Ciappara Paniagua M, Ruiz Le�n MA, Fernandez Montarroso L, Resel Folkersma L, Galante Romo MI, et al. Robotic Sacrocolpopexy: Results, Complications and Evaluation of Impact on Quality of Life. Clin Surg. 2018; 3: 2143.