It is estimated that 12% of women who undergo hysterectomy for vaginal vault prolapse keep on dealing with the problem of prolapse after the surgery.
A study recently published in the journal Urology has attested a robot-assisted procedure to correct complications - such as vaginal vault prolapse - that may follow hysterectomy as a secure surgical method. The procedure consists in repairing the vaginal vault prolapsed, or collapsed vaginal walls by pinning back in place the top of the vagina that has fallen down inside or outside the vaginal canal. This happens because the hysterectomy causes the loss of strength of the pelvic floor muscles, resulting the fall of the top of the vagina (vaginal vault prolapse). Formally called robotic-assisted laparoscopic sacrocolpopexy, the procedure has proved to be effective over time.
The procedure already existed, but the news is the robotic assistance and its effectiveness. From a computer terminal, the surgeon operates commanding a robotic hand that performs the surgery. The benefits for the surgeon provided by this new technical approach are the 3-D vision and the extinction of the human hand’s tremor.
The surgery consists in attaching the vagina to the abdominal wall, the ligaments of the pelvis or the lumbar spine by an abdominal incision or through the vagina.
Symptoms of a prolapsed vagina: pain during sexual intercourse, urinary incontinence, vaginal bleeding, a feeling of fullness in the pelvic region, or a lump drooping into the vaginal canal or protruding outside through the vaginal opening. The discomfort is evident.
Procedure’s benefits for the patient: it’s faster, less painful and provides a quicker recovery than the old procedures. In contrast to the traditional surgery, where 4 to 5 days of rest at the hospital were required, in this new procedure the patient stays at the hospital just overnight. Abstinence from sexual intercourse is recommended.
No recurrence of the prolapsed on the people submitted to this new procedure was noticed until now.