Robotic Assisted Sacrocolpopexy

This is a surgical procedure used to treat pelvic organ prolapse by using surgical mesh to lift the affected organs and secured to the sacrum.

Indications:

• Performed for symptomatic pelvic organ prolapse, vault prolapse or uterine prolapse
• Indicated for high degree of prolapse
• Symptoms:
  • Pressure feeling in the vagina or bulge visible at the opening of the vagina
  • Difficulty in urinating or passing bowel motions
  • Urinary symptoms consisting of incontinence or frequency
  • Pain with intercourse

Procedure:

• This is done under a general anaesthetic
• Abdominal approach using robotic assisted techniques
• A Y-shaped mesh is attached at the top of the vagina with arms in front and behind, stretched to a strong ligament covering the sacrum
• May have a concomitant cystocele repair

Recovery:

• Usually a 2 to 3-day stay in hospital
• You will have a catheter in the first day
• Recovery can take up to 6 – 8 weeks
• Avoid strenuous activity such as lifting heavy objects
• Success rate is between 85 and 90%
• Be aware that you would have mesh in place, yet no ruling regarding trance abdominal mesh has been influenced by the FDA and TGA statements

Wes RA SacroColpoPexy