Division of Urogynecology and Reconstructive Pelvic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7570, USA.
J Minim Invasive Gynecol. 2011 May-Jun;18(3):322-7. doi: 10.1016/j.jmig.2011.01.008. Epub 2011 Apr 1.
Estimate pelvic floor function and support 1 year after robotic sacrocolpopexy.
Prospective cohort analysis of women undergoing robotic sacrocolpopexy for correction of advanced pelvic organ prolapse (Canadian Task Force Classification III). Primary outcome was pelvic floor function. Secondary outcomes included anatomic support and long-term surgical failures and complications.
One university hospital in the southeastern United States.
Primarily postmenopausal women (mean age 60) with advanced pelvic organ prolapse.
All subjects underwent robotic sacrocolpopexy during the study period. Subjects then underwent 1-year postoperative assessment of pelvic floor function via validated condition-specific quality of life questionnaires and assessment of pelvic floor support, long-term surgical failures, and complications via physical examination.
From November 2007 to April 2009, there were 28 subjects, 25 of whom (89.3%) were evaluated. Mean time since surgery was 14.8 months. Pelvic floor function remained significantly improved over preoperative baseline: PFDI-20 (117 vs 38, p <.001), PFIQ-7 (60 vs 10, p = .001), with stable high sexual function: PISQ-12 (34 vs. 36, p = .17), and improved pelvic support on POP-Q: Ba (+3 vs -2, p = .001), Bp (+0.5 vs -1, p = .092), C (+2.25 vs -8, p = .001). Anatomic cure for vault prolapse was 100% at 1 year. There were two mesh exposures and two subsequent prolapse surgeries.
Robotic sacrocolpopexy demonstrates durable improvement in pelvic floor function and support, with high sexual function and reasonable failure and complication rates 1 year after surgery.
评估机器人骶骨阴道固定术后 1 年的盆底功能和支持情况。
对接受机器人骶骨阴道固定术治疗高级盆腔器官脱垂（加拿大任务组分类 III）的女性进行前瞻性队列分析。主要结局是盆底功能。次要结局包括解剖支持和长期手术失败及并发症。
美国东南部的一家大学医院。
主要为绝经后女性（平均年龄 60 岁），患有高级盆腔器官脱垂。
所有患者在研究期间均接受机器人骶骨阴道固定术。然后，通过验证过的特定于疾病的生活质量问卷评估盆底功能，并通过体格检查评估盆底支持、长期手术失败和并发症，在术后 1 年进行评估。
从 2007 年 11 月至 2009 年 4 月，共有 28 例患者，其中 25 例（89.3%）接受了评估。手术时间中位数为 14.8 个月。盆底功能较术前基线仍显著改善：PFDI-20（117 分比 38 分，p<0.001），PFIQ-7（60 分比 10 分，p=0.001），性功能稳定较高：PISQ-12（34 分比 36 分，p=0.17），POP-Q 上的盆底支持得到改善：Ba（+3 分比-2 分，p=0.001），Bp（+0.5 分比-1 分，p=0.092），C（+2.25 分比-8 分，p=0.001）。1 年后穹窿脱垂的解剖治愈率为 100%。有 2 例网片暴露和 2 例随后的脱垂手术。
机器人骶骨阴道固定术在术后 1 年可持久改善盆底功能和支持，性功能高，且失败和并发症发生率合理。
