(Video Poster 35) Robotic Assisted Laparoscopic Sacrohysteropexy

Objectives: Pelvic organ prolapse is a common condition amongst aging women, with an estimated 13% of women that will undergo surgical treatment during their lifetimes. The prevalence of pelvic organ prolapse continues to rise with an aging population, with an expected 50% increase in women effected by 2050. Historically, surgical treatment was preceded by, or included hysterectomy.
However, there has been a recent rising trend in the use of uterine sparing surgery including with sacrohysteropexy. Robotic assisted laparoscopic performance of sacrohysteropexy is infrequently reported, and to the best of our knowledge no video presentations of technique exist. Therefore, we aim to present our technique

Methods: We present a case involving a healthy, a 36-year-old female presenting with bothersome stage II apical pelvic organ prolapse. She has prior tubal ligation, and her work involves constant heavy lifting. She strongly desired uterine preservation if possible with her surgical treatment. Our surgical steps and patient outcomes are presented.

Clinical Relevance: Our patient underwent successful robotic assisted sacrohysteropexy without complications and full resolution of her symptoms upon follow up.
We have presented our technique for robotic sacrohysteropexy with successful repair of apical pelvic organ prolapse. Uterine preservation during prolapse repair is an option that should be offered as long as it is clinically feasible. Further long term follow up research should be performed on these methods.