{"id":1269,"date":"2025-06-17T08:27:29","date_gmt":"2025-06-17T06:27:29","guid":{"rendered":"https:\/\/shrgs.org\/?page_id=1269"},"modified":"2025-06-17T08:39:13","modified_gmt":"2025-06-17T06:39:13","slug":"urogynaecology","status":"publish","type":"page","link":"https:\/\/shrgs.org\/en\/urogynaecology\/","title":{"rendered":"Urogynaecology"},"content":{"rendered":"\t\t
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Robotic Pelvic Floor Reconstructive Surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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In recent years, robotic surgery has been increasingly adopted as part of the surgical armamentarium for the management of pelvic floor disorders. Such disorders \u2014 including pelvic organ prolapse (uterine or vaginal prolapse, cystocele, rectocele), urinary incontinence, fistulas, and mesh-related complications (such as tissue erosion) \u2014 fall under the domain of Urogynecology and Pelvic Floor Surgery, a specialized subspecialty within Obstetrics and Gynecology.<\/p>


The technological advantages of robotic systems \u2014 especially their ability to provide detailed three-dimensional visualization of complex anatomical structures and to facilitate precise tissue dissection and suturing in deep and narrow surgical fields \u2014 have made robotic surgery increasingly popular among pelvic floor reconstructive surgeons.<\/p>


Although the implementation of robotic technology in pelvic floor surgery is relatively recent, available scientific data demonstrate a significantly shorter learning curve for complex procedures \u2014 such as sacrocolpopexy or sacrohysteropexy \u2014 when compared to laparoscopy. Moreover, robotic procedures are associated with lower conversion rates to open surgery compared to their laparoscopic equivalents.<\/p>


A recent multicenter study (2023) involving accredited robotic pelvic floor surgeons (including urogynecologists, urologists, and colorectal surgeons) from 10 countries highlighted several key advantages of robotic-assisted pelvic floor surgery:<\/p>

  • High level of procedural safety<\/li>
  • Greater effectiveness than standard laparoscopic techniques<\/li>
  • Technical superiority in terms of accurate dissection, mesh placement, and tissue suturing<\/li>
  • Steeper learning curve for surgeons transitioning from open to robotic techniques, even without prior experience in endoscopic surgery<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Common robotic-assisted urogynecologic procedures include:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    1. Sacrocolpopexy \/ Sacrohysteropexy with mesh<\/li>
    2. Pectopexy \/ Pectohysteropexy with mesh<\/li>
    3. High suspension of the vaginal vault to the uterosacral ligaments<\/li>
    4. Burch colposuspension<\/li>
    5. Removal of prolapse mesh and mid-urethral slings<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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      References<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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      1. Robot-assisted pelvic floor reconstructive surgery: an international Delphi study of expert users. Surg Endosc. 2023 Jul;37(7):5215-5225.<\/li>
      2. Robot-assisted laparoscopic pelvic floor surgery: Review. Best Pract Res Clin Obstet Gynaecol. 2023 Dec;91:102418.<\/li>
      3. Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery. J Robot Surg. 2022 Jun;16(3):563\u2013568.<\/li>
      4. Laparoscopic and Robotic-assisted Vesicovaginal Fistula Repair: A Systematic Review of the Literature. J Minim Invasive Gynecol. 2015 Jul\u2013Aug;22(5):727\u2013736.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Robotic Pelvic Floor Reconstructive Surgery In recent years, robotic surgery has been increasingly adopted as part of the surgical armamentarium for the management of pelvic floor disorders. Such disorders \u2014 including pelvic organ prolapse (uterine or vaginal prolapse, cystocele, rectocele), urinary incontinence, fistulas, and mesh-related complications (such as tissue erosion) \u2014 fall under the domain […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1269","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/pages\/1269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/comments?post=1269"}],"version-history":[{"count":4,"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/pages\/1269\/revisions"}],"predecessor-version":[{"id":1273,"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/pages\/1269\/revisions\/1273"}],"wp:attachment":[{"href":"https:\/\/shrgs.org\/en\/wp-json\/wp\/v2\/media?parent=1269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}