Articles
15 February 2017
Vol. 30 (2017)
https://doi.org/10.4081/uij.2017.178

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

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Genital prolapse, laparoscopy, morbidity, outcomes, robotics.
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Authors

Thibault Thubert
Division of Gynaecologic Surgery, Pitié Salpétrière Hospital, APHP, Paris; Obstetrics, Gynaecology and Reproductive Medicine Department, Antoine Béclère Hospital, Clamart, France.
Yohann Dabi
yohann.dabi@gmail.com
Obstetrics, Gynaecology and Reproductive Medicine Department, Antoine Béclère Hospital, Clamart, France.
Anne Sophie Boudy
Obstetrics, Gynaecology and Reproductive Medicine Department, Antoine Béclère Hospital, Clamart, France.
Marion Joubert
Division of Gynaecologic Surgery, Pitié Salpétrière Hospital, APHP, Paris, France.
Christophe Vaessen
Academic Department of Urology, Pitié Salpétrière Hospital, APHP, Paris, France.
Emmanuel Chartier-Kastler
Academic Department of Urology, Pitié Salpétrière Hospital, APHP, Paris,, France.
Jean-Pierre Lefranc
Division of Gynaecologic Surgery, Pitié Salpétrière Hospital, APHP, Paris, France.
Morgan Rouprêt
Academic Department of Urology, Pitié Salpétrière Hospital, APHP, Paris, France.
The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m2. Relationships with outcome analysed using Mann– Whitney U-test and Fisher’s exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30. (2017). Urogynaecologia, 30. https://doi.org/10.4081/uij.2017.178

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