INDICATIONS FOR RSC

Indications for robotic sacrocolpopexy (RSC) are similar to those for the open procedure and include mainly symptomatic pelvic organ prolapse, graded according to the Baden Walker grading system (grade 3-4 genitourinary prolapse, or symptomatic grade 2) or the International Classification of Standards (ICS) classification (stage II-IV).

Symptoms include urinary incontinence or difficulty urinating, the latter due to urethral obstruction; difficulty passing stool; and pelvic pressure or the sensation of pulling on the vagina or the lower back. Most patients seek surgical correction when they experience bulging and protrusion of organs with or without voiding symptoms.

ROBOTIC SACROCOLPOEXY

Sacrocolpopexy is a surgical technique used to treat vaginal vault or uterine prolapse, 2 types of POP. The objectives of the procedure are to reduce prolapse and to restore the anatomy and function of the vagina. During the procedure, the apex of the vagina/fundus of the uterus or stump of the cervix is lifted back up to its natural position by attaching a synthetic mesh from the top and back of the vagina to the sacral promontory. The mesh provides the vagina with the right amount of support to keep it in the correct position

No particular criterion standard for POP repair exists, yet the open abdominal mesh sacrocolpopexy has been revered as the main abdominal approach for correction given its cure rates of 85-100% in recent studies. However, when performed via a robotic-assisted laparoscopic (RAL) approach, the procedure is comparable in its clinical results, providing the same long-term durability of open sacrocolpopexy with the added benefits of minimally invasive surgery, greater precision and control during the procedure, less pain, less blood loss, better cosmesis, and shorter hospitalization. Many surgeons are unfortunately limited in their knowledge of how to skillfully perform sacrocolpopexies laparoscopically & Robotically, however Dr Ruban has trained in both techniques whilst training in Paris and offers this very rewarding surgery to certain patients suitable for this procedure with excellent outcomes that he has presented at international conferences.

More Information on Sacrocolpopexy

International Urogynecological Association – Sacrocolpopexy