Functional Outcomes of Robotic Assisted Laparoscopic Mesh Sacrocolpopexy (RASC) and Mesh Rectopexy for Combined Vaginal and Rectal Prolapse

Abstract

Study Objective: To compare the effectiveness and long-term anatomic and functional results of vaginoplasty using acellular porcine small intestinal submucosa (SIS) graft with laparoscopic peritoneal vaginoplasty in patients with MRKHS. Design: Prospective follow-up study. Setting: Academic hospital. Patients: From December 2011 to January 2013, 30 patients underwent vaginoplasty using SIS graft in our hospital. The follow-up information were compared with those of 41 patients who underwent laparoscopic peritoneal vaginoplasty during January 2005 to January 2013. Intervention: Patients and surgical data, follow-up information and Female Sexual Function Index (FSFI) scores were recorded and analyzed. Measurements and Main Results: Comparedwith Laparoscopic Davydov procedure, the operating time of vaginoplasty using SIS graft was significantly shorter, the estimated blood loss was significantly less. The patients in the SIS group had earlier return of bowel activity, and earlier