Robotic, fast fix as effective as full surgery for post-hysterectomy sagging vagina

Initial testing indicates promise for the procedure

An initial Mayo Clinic study has confirmed the effectiveness and durability over time of a patient-friendly, robot-assisted procedure that corrects a complication that can follow hysterectomy. The study, published in the February issue of Urology, is the first in the United States to examine the feasibility of using this method to repair vaginal vault prolapse, or collapsed vaginal walls.

“The benefit to the patient is dramatic,” says Daniel Elliott, M.D., Mayo Clinic urologist and one of the lead study authors. “It’s fast, markedly less painful and a strong repair, with much quicker recovery.”

Mayo Clinic is the first medical center in the United States to offer this procedure, formally called “robotic-assisted laparoscopic sacrocolpopexy.” It pins back in place the top of a vagina that has fallen down within the vaginal canal or even outside the vaginal opening.

A drooping vaginal wall most commonly occurs when the top of the vagina falls in on itself as the pelvic floor muscles lose strength following a hysterectomy, which one in nine American women undergo. Following hysterectomy, up to 10 percent of women experience sagging of the vagina that requires surgical repair.

“The uterus acts like an anchor,” says Dr. Elliott. “So, if the vagina loses its support, sometimes it inverts itself and comes out.”

Signs of vaginal vault prolapse include: incontinence, pain during sexual intercourse, a feeling of fullness in the pelvic region, a sore back, or a lump drooping into the vaginal canal or even protruding outside of the body through the vaginal opening. Women who have this condition may find sitting, standing and walking uncomfortable.

In the traditional full, open surgery for vaginal vault prolapse, women have to undergo a four- to five-day stay in the hospital, a sizable abdominal incision and a recovery period of about six weeks, including abstinence from intercourse. In the new robotic procedure, however, the patient is kept in the hospital only overnight and has a much reduced recovery time, although she is still advised to abstain from intercourse for six weeks. Most importantly, the patients on whom the Mayo Clinic urologists performed the new repair have yet to have any problems with recurrence of the prolapse.

In the new robotic approach, the surgeon operates remotely from a computer terminal, guiding the robotic hand that performs the surgery, rather than standing over the patient. This technique also offers 3-D vision, better ability to maneuver and reduction of any tremor that might be present in the human hand.

As this study’s aim was to test initial feasibility, it included the first five women to undergo the procedure at Mayo Clinic. Prior to the repair, two patients had grade three prolapse and three women were classified as grade four, the highest degree of prolapse.

Mayo Clinic urologists have now performed 18 robotic vaginal repair procedures, according to co-author George Chow, M.D., with equally successful or even superior results to those seen in the first five women.

For more information about this procedure, call the Mayo Clinic Urology Research Unit at 507-255-3986.

Media Contact

Lisa Copeland EurekAlert!

More Information:

http://www.mayo.edu/

All latest news from the category: Health and Medicine

This subject area encompasses research and studies in the field of human medicine.

Among the wide-ranging list of topics covered here are anesthesiology, anatomy, surgery, human genetics, hygiene and environmental medicine, internal medicine, neurology, pharmacology, physiology, urology and dental medicine.

Back to home

Comments (0)

Write a comment

Newest articles

Results for control of pollutants in water

Brazilian scientists tested a simple and sustainable method for monitoring and degrading a mixture of polycyclic aromatic hydrocarbons, compounds present in fossil fuels and industrial waste. An article published in the journal Catalysis…

A tandem approach for better solar cells

Perovskite-based solar cells were first proved in 2009 to have excellent light-absorbing properties of methylammonium lead bromide and methylammonium lead iodide, collectively referred to as lead halide perovskites or, more…

The behavior of ant queens is shaped by their social environment

Specialization of ant queens as mere egg-layers is reversible / Queen behavioral specialization is initiated and maintained by the presence of workers. The queens in colonies of social insects, such…

Partners & Sponsors