Contents
The study compares the clinical outcomes of robotic-assisted sacral hysterocolpopexy (RASC) and vaginal surgery using the Uphold™ Vaginal Support System for apical pelvic organ prolapse repair. Conducted as a nonrandomized, prospective, multicenter study, it included 72 women undergoing RASC and 73 receiving Uphold™ surgery. After one year, both procedures achieved high rates of anatomical success (96.4% for RASC and 93.3% for Uphold™), but reoperation for prolapse recurrence was significantly more common in the RASC group (15.3% vs. 2.8%). Although both methods significantly improved pelvic floor distress and pain, the Uphold™ procedure showed greater improvements in patient-reported outcomes, particularly in reducing Pelvic Floor Distress Inventory scores. Overall, RASC was associated with longer operative times but lower blood loss, while Uphold™ had better anterior vaginal wall outcomes. Despite these differences, both procedures had low complication rates and demonstrated effectiveness in treating apical prolapse.
Citation
Poutakidis G, Falconer C, Altman D, Johannesson U, Zhang A, Ericson C, Stenberg M, Altrock S, Morcos E. Pelvic Organ Prolapse Repair Using Robotic-Assisted Sacral Hysterocolpopexy vs Vaginal Surgery with the Uphold™ System: 1-Year Clinical Outcomes. Int Urogynecol J. 2025 Jan 8.
Link
https://link.springer.com/article/10.1007/s00192-024-06017-6
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