PFD Week 2016-Robotic Assisted Paravaginal Repair at the Time of Sacrocolpopexy: A Case Series

Robotic Assisted Paravaginal Repair at the Time of Sacrocolpopexy: A Case Series

Video Transcription

Video Summary

This video showcases a robotic-assisted paravaginal repair and space of Retzius dissection to improve the failure rates of the anterior vaginal compartment in women who have undergone sacrocopalpexy. The procedure involves dissecting the space of Retzius, identifying the uracus, and accessing the loose areolar tissue of the prevesical space. The paravaginal defect is visualized and re-approximated to the arcus tendineus fascia pelvis using permanent sutures. The video also mentions the potential use of Birch-Coppo suspension for urethral support if an anti-incontinence procedure is required. The observational case series included 7 patients with positive outcomes, showing no descent or prolapse post-operatively and improved patient perception and pelvic floor distress inventory scores. Addressing paravaginal defects alongside sacrocopalpexy may enhance the success rates of pelvic organ prolapse repair. Long-term data will be needed to compare these outcomes to sacrocopalpexy alone. No credits were provided.

Asset Subtitle

Darlene Morrissey, MD

Keywords

robotic-assisted paravaginal repair

space of Retzius dissection

anterior vaginal compartment

sacrocopalpexy

paravaginal defect