Genito-Urinary Surgeons


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Toledo 43606



da Vinci® Sacrocolpopexy (Pelvic Prolapse)

 

Pelvic prolapse is a condition that occurs when muscles and ligaments supporting your pelvic organs weaken. As a result, these organs (uterus, vagina, cervix, bladder, urethra, or rectum) slip from their normal position. Severe uterine prolapse can cause the uterus to slip partially into the vagina, and severe vaginal prolapse causes the upper part of the vagina to sag into the vaginal canal or even outside the vagina. Some women with prolapse have no symptoms while others experience the feelingof sitting on a ball; pulling in the pelvis; pelvic or abdominal pain; painful intercourse; protrusion of tissue from the vagina; bladder infections; vaginal bleeding; unusual discharge; constipation or frequent urination. Pelvic prolapse is common, affecting about one in every three women who have had a child.

One in nine women experience symptoms severe enough to need surgery. Prolapse risk factors include multiple vaginal deliveries, age, obesity, hysterectomy and smoking. Typically, pelvic prolapse worsens over time and can only be fully corrected with surgery. The procedure is called sacrocolpopexy and is considered the most effective way to correct pelvic prolapse and resolve symptoms. It is important to know that da Vinci Surgery does not place a robot at the controls; your surgeon is controlling every aspect of the surgery with the assistance of the da Vinci robotic platform.

da Vinci Sacrocolpopexy : Procedure

During this procedure, surgical mesh is used to hold the vagina in its correct position. The mesh remains in place permanently. Sacrocolpopexy may also be performed following a hysterectomy to treat prolapse and provide long-term support of the vagina. Sacrocolpopexy has traditionally been performed using open surgery. A long, horizontal incision is made in the lower abdomen to manually access the pelvic organs, including the uterus. While the success rate of open sacrocolpopexy is high, recovery time can be long.

Laparoscopic sacrocolpopexy is a minimally invasive alternative to open surgery. This approach is considered to be technically challenging due to the extensive suturing and dissection required, along with the limitations of traditional laparoscopic technology. However, minimally invasive da Vinci Surgery requires just a few tiny incisions. The enhanced vision, precision, dexterity and control of da Vinci allows your doctor to perform a durable sacrocolpopexy even for women with complex cases.

For qualified candidates da Vinci Sacrocolpopexy offers women many potential benefits over traditional open surgery, including:

  • Less blood loss
  • Minimal need for blood transfusions
  • Shorter hospital stay
  • Potential benefits compared to laparoscopy include:
  • Minimal pain
  • Low rate of complications
  • Shorter hospital stay
  • Small incisions for minimal scarring

 

Every surgery is unique to each patient and procedure, therefore benefits cannot be guaranteed.

Content provided by Intuitive Surgical. For more information on this topic, please visit www.davincisurgery.com

Patient Brochure_ da Vinci Sacrocolpopexy - paginated pdf