V12-12 ROBOT-ASSISTED CERCLAGE SACROHYSTEROPEXY

Abstract

You have accessJournal of UrologyCME1 Apr 2023V12-12 ROBOT-ASSISTED CERCLAGE SACROHYSTEROPEXY Miranda Eubank, Hiroko Miyagi, Veronica Demtchouk, and Louis Moy Miranda EubankMiranda Eubank More articles by this author , Hiroko MiyagiHiroko Miyagi More articles by this author , Veronica DemtchoukVeronica Demtchouk More articles by this author , and Louis MoyLouis Moy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003347.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Laparoscopic cerclage sacrohysteropexy is a novel surgical technique first described and performed laparoscopically by Dr. Peter Rosenblatt. It is a uterine-sparing technique that requires less suturing and dissection compared to traditional sacrocervicopexy and alternative uterine-sparing methods. His team reports equivalent anatomic outcome with reduced intraoperative time when compared to traditional sacrocervicopexy. To our knowledge, cerclage sacrohysteropexy has not yet been demonstrated robotically. METHODS: We demonstrate the cerclage sacrohysteropexy using robot-assisted laparoscopy. To achieve uterine suspension the uterine isthmus was identified. Tissue windows were dissected laterally on each side of the isthmus. Polypropylene mesh was looped through the lateral windows, encircling the isthmus. The mesh tail was pulled cephalad and secured to the sacral promontory in standard fashion. RESULTS: The patient had good apical suspension and adequate vaginal caliber at the conclusion of the case. There were no intraoperative or postoperative complications. She was doing well upon 1 month follow-up. Physical exam at the time of follow up showed a c-point of –8. CONCLUSIONS: Robot-assisted cerclage sacrohysteropexy is a viable uterine-sparing option for treatment of apical pelvic organ prolapse. It requires less suturing and dissection than other uterine-sparing and non-uterine-sparing techniques. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1068 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Miranda Eubank More articles by this author Hiroko Miyagi More articles by this author Veronica Demtchouk More articles by this author Louis Moy More articles by this author Expand All Advertisement PDF downloadLoading ...