Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy

Published:February 10, 2012DOI:


      The purpose of this study was to compare symptomatic and anatomic outcomes 1 year after robotic vs abdominal sacrocolpopexy.

      Study Design

      Our retrospective cohort study compared women who underwent robotic sacrocolpopexy (RSC) with 1 surgeon to those who underwent abdominal sacrocolpopexy (ASC) as part of the Colpopexy and Urinary Reduction Efforts trial. Our primary outcome was a composite measure of vaginal bulge symptoms or repeat surgery for prolapse.


      We studied 447 women (125 with RSC and 322 with ASC). Baseline characteristics were similar. There were no significant differences in surgical failures 1 year after surgery based on our primary composite outcome (7/86 [8%] vs 12/304 [4%]; P = .16). When we considered anatomic failure, there were also no significant differences between RSC and ASC (4/70 [6%] vs 16/289 [6%]; P = .57).


      One year after sacrocolpopexy, women who underwent RSC have similar symptomatic and anatomic success compared with those women who underwent ASC.

      Key words

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        • Nygaard I.E.
        • McCreery R.
        • Brubaker L.
        • et al.
        ASC: a comprehensive review.
        Obstet Gynecol. 2004; 104: 805-823
        • Warren L.
        • Ladapo J.A.
        • Borah B.J.
        • Gunnarsson C.L.
        Open abdominal versus laparoscopic and vaginal hysterectomy: analysis of a large United States payer measuring quality and cost of care.
        J Minim Invasive Gynecol. 2009; 16: 581-588
        • Lin F.
        • Zhang Q.J.
        • Zheng F.Y.
        • et al.
        Laparoscopically assisted versus open surgery for endometrial cancer: a meta-analysis of randomized controlled trials.
        Int J Gynecol Cancer. 2008; 18: 1315-1325
        • Paraiso M.F.
        • Walters M.D.
        • Rackley R.R.
        • Melek S.
        • Hugney C.
        Laparoscopic and abdominal sacral colpopexies: a comparative cohort study.
        Am J Obstet Gynecol. 2005; 192: 1752-1758
        • Geller E.J.
        • Siddiqui N.Y.
        • Wu J.M.
        • Visco A.G.
        Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy.
        Obstet Gynecol. 2008; 112: 1201-1206
        • Brubaker L.
        • Cundiff G.W.
        • Fine P.
        • et al.
        Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence.
        N Engl J Med. 2006; 354: 1557-1566
        • Brubaker L.
        • Cundiff G.
        • Fine P.
        • et al.
        A randomized trial of colpopexy and urinary reduction efforts (CARE): design and methods.
        Control Clin Trials. 2003; 24: 629-642
        • Barber M.D.
        • Walters M.D.
        • Bump R.C.
        Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7).
        Am J Obstet Gynecol. 2005; 193: 103-113
        • Rogers R.G.
        • Coates K.W.
        • Kammerer-Doak D.
        • Khalsa S.
        • Qualls C.
        A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12).
        Int Urogynecol J Pelvic Floor Dysfunct. 2003; 14: 164-168
        • Barber M.D.
        • Kuchibhatla M.N.
        • Pieper C.F.
        • Bump R.C.
        Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders.
        Am J Obstet Gynecol. 2001; 185: 1388-1395
        • Rogers R.G.
        • Kammerer-Doak D.
        • Villarreal A.
        • Coates K.
        • Qualls C.
        A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse.
        Am J Obstet Gynecol. 2001; 184: 552-558
        • Barber M.D.
        • Brubaker L.
        • Menefee S.
        • et al.
        Operations and pelvic muscle training in the management of apical support loss (OPTIMAL) trial: design and methods.
        Contemp Clin Trials. 2009; 30: 178-189
        • Barber M.D.
        • Brubaker L.
        • Nygaard I.
        • et al.
        Defining success after surgery for pelvic organ prolapse.
        Obstet Gynecol. 2009; 114: 600-609
        • Dean A.G.
        • Sullivan K.M.
        • Soe M.M.
        OpenEpi: open source epidemiologic statistics for public health, version 2.3.1; updated 06/23/2011.
        (Accessed April 17, 2011)
        • von Elm E.
        • Altman D.G.
        • Egger M.
        • Pocock S.J.
        • Gotzsche P.C.
        • Vandenbroucke J.P.
        The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies.
        Lancet. 2007; 370: 1453-1457
        • Cundiff G.W.
        • Varner E.
        • Visco A.G.
        • et al.
        Risk factors for mesh/suture erosion following sacral colpopexy.
        Am J Obstet Gynecol. 2008; 199: 688.e1-688.e5
        • Granese R.
        • Candiani M.
        • Perino A.
        • Romano F.
        • Cucinella G.
        Laparoscopic sacrocolpopexy in the treatment of vaginal vault prolapse: 8 years experience.
        Eur J Obstet Gynecol Reprod Biol. 2009; 146: 227-231
        • Geller E.J.
        • Parnell B.A.
        • Dunivan G.C.
        Pelvic floor function before and after robotic sacrocolpopexy: one-year outcomes.
        J Minim Invasive Gynecol. 2011; 18: 322-327
        • Moreno Sierra J.
        • Ortiz Oshiro E.
        • Fernandez Perez C.
        • et al.
        Long-term outcomes after robotic sacrocolpopexy in pelvic organ prolapse: prospective analysis.
        Urol Int. 2011; 86: 414-418
        • Sergent F.
        • Resch B.
        • Loisel C.
        • Bisson V.
        • Schaal J.P.
        • Marpeau L.
        Mid-term outcome of laparoscopic sacrocolpopexy with anterior and posterior polyester mesh for treatment of genito-urinary prolapse.
        Eur J Obstet Gynecol Reprod Biol. 2011; 156: 217-222
        • Tan-Kim J.
        • Menefee S.A.
        • Luber K.M.
        • Nager C.W.
        • Lukacz E.S.
        Prevalence and risk factors for mesh erosion after laparoscopic-assisted sacrocolpopexy.
        Int Urogynecol J Pelvic Floor Dysfunct. 2011; 22: 205-212
        • Nosti P.A.
        • Lowman J.K.
        • Zollinger T.W.
        • Hale D.S.
        • Woodman P.J.
        Risk of mesh erosion after abdominal sacral colpoperineopexy with concomitant hysterectomy.
        Am J Obstet Gynecol. 2009; 201: 541.e1-541.e4
        • Elliott D.S.
        • Krambeck A.E.
        • Chow G.K.
        Long-term results of robotic assisted laparoscopic sacrocolpopexy for the treatment of high grade vaginal vault prolapse.
        J Urol. 2006; 176: 655-659