The investigators scientific aims are to determine the benefits associated with the use of robotic assisted laparoscopic sacrocolpopexy surgery on women with prolapse, to define how the benefits impact the patient, physician and the institution, and to determine the complications associated with the use of the robot. This will be a prospective cohort following 100 patients for a 24 month period.
The investigators scientific aims are to determine the benefits associated with the use of robotic assisted laparoscopic sacrocolpopexy surgery on women with prolapse, to define how the benefits impact the patient, physician and the institution, and to determine the complications associated with the use of the robot. This will be a prospective cohort following 100 patients for a 24 month period. The investigators primary outcomes will be: * Surgical time: Key portion of procedure will be assessed along with total time for completion * Learning curve: Will be assessed using surgical times, VAS of camera skills, surgical skills involving tissue handling and movements and overall performance by surgeon, assistant and blind reviewer * Length of hospitalization: measured by days in hopsital The investigators secondary outcomes will be: * Pre-operative and postoperative Pelvic Organ Prolapse-Quantification (POP-Q) at 6 week, 6, 12, and 24 months. * Pelvic Floor Distress Inventory-Short Form 20 Questionnaire (PFDI-20) * Mesh erosion, * Estimated blood loss, * Complications (bowel or bladder injury) and, * Wound infection, * Patient Global Impressions of Improvement * Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
To assess robotic sacral colpopexy for female patients with stage 2 pelvic organ prolapse
Kaiser Permanente Downey
Los Angeles, California, United States
NOT_YET_RECRUITINGKaiser Permanente San Diego
San Diego, California, United States
RECRUITINGLearning curve of robotic sacral colpopexy
To assess learning curve during implementation of a new pelvic floor robotic program which will assess surgical time (total and specific essential portions), simulator training and surgeon, observational surgeon skills by surgeon, assistant and blinded assessor
Time frame: 24 months
Subjective outcomes for robotic sacral colpopexy
Subjective outcomes for robotic sacral colpopexy for prolapse and incontinence symptoms and sexual function using validated measures (PFDI-20), (PISQ-12)
Time frame: Two years
Adverse events for robotic sacral colpopexy
Adverse events for robotic sacral colpopexy including estimated blood loss, GU and GI injury, wound infection and mesh erosion
Time frame: Two years
Objective outcomes measures associated with robotic sacral colpopexy
To assess prolapse outcomes using POP-Q assessment of postoperative support at 12 and 24 months
Time frame: 24 months
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