daVinci Robotic Sacrocolpopexy
Our team of specialists utilize the daVinci robot to perform a procedure called Robotic Sacrocolpopexy. This is a fantastic surgery that suspends the vagina to a very strong ligament on top of the sacral promontory. Unlike suspension surgeries performed through a vaginal incision, Robotic Sacrocolpopexy maintains a normal vaginal axis. So, what does this mean for you? The results of the surgery are much more natural and the vagina is not deviated to one side. We have found this to be beneficial to our patients who want to maintain or return to her normal sexual life.
Although this suspension utilizes a soft plastic mesh, it is important to note that the Robotic Sacrocolpopexy with mesh is not part of the FDA notice, nor is it part of the ongoing litigation. Because no vaginal incision is made, the risk of mesh extrusion into the vagina is quite small. While the nationally reported incidence of mesh extrusion, pelvic pain, pain with intercourse, and recurrent prolapse is reported to be as high as 10%, we have noted less than a 2% occurrence of these problems in our patients undergoing Robotic Sacrocolpopexy. Our complication rate is substantially lower than that reported in the literature. This highlights the importance of selecting a surgeon who is capable and honest about his or her personal experience and complication rates.
Robotic Sacrocolpopexy is an approximately one to two hour outpatient surgery with most patients going home within the first 23 hours. A series of fingernail-sized incisions are made in the abdomen. Skinny instruments as well as a tiny camera are held by the four arms of the robot. The robot is not capable of performing surgery; rather its arms, wrists, and fingers copy exactly the movements of the surgeon. Fantastic visualization created by a 3D view of the pelvic anatomy combined with the ultra-fine and precise movements of the robotic wrists and fingers allow us to perform extremely delicate surgery. This delicate technique allows a surgery with minimal blood loss.
Should you hear a surgeon speak out against robotic urogyn surgery, you should ask that surgeon how many robotic surgeries they have performed. More often than not, you will find that they have performed none or just a few.
Our team has performed hundreds of all types of suspensions. It is this experience that allows us to evaluate objectively all methods and offer you the right procedure. There are situations where the robotic surgery is not appropriate. For those patients, we perform the Sacrocolpopexy through a traditional incision or perform a transvaginal suspension.