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- Title
The current state and the future of robotic surgery in female pelvic medicine and reconstructive surgery.
- Authors
Sussman, Rachael D.; Peyronnet, Benoit; Brucker, Benjamin M.
- Abstract
In this article, we review the current uses and future directions of robotic surgery in the field of female pelvic medicine and reconstructive surgery. Pelvic surgery is ideal for the use of surgical robots, which provide improved visualization and ease of suturing deep within the pelvis. Robots have been successfully used for the treatment of pelvic organ prolapse, in procedures such as sacrocolpopexy, sacrohysteropexy, and uterosacral ligament plication. Surgeons have used the robotic successfully to treat various etiologies of female pelvic pain including fibroids, endometriosis, and nerve entrapment. Robotic repair of iatrogenic injury has been described with excellent outcomes and avoidance of conversion to open surgery in the event of an injury caused using the robotic platform. While more data is needed on this topic, there has been increasing interest in using the robot for urologic reconstruction including repair of vesico-vaginal fistula, cystectomy, augmentation cystoplasty, and continent and non-continent diversions. Recently the use of the robot has been described in the treatment of stress urinary incontinence in females, with robotic placement of an artificial urinary sphincter. While robotic surgery is associated with increased cost, the outcomes of robotic surgery in female urology are promising. More studies that properly evaluate the benefits of robotic surgery as compared to open and laparoscopic approaches are needed.
- Subjects
PELVIC pain treatment; VESICOVAGINAL fistula; GYNECOLOGIC surgery; UROLOGICAL surgery; GYNECOLOGY; ROBOTICS; PLASTIC surgery; SURGICAL robots; TREATMENT effectiveness; PELVIC organ prolapse; CYSTECTOMY
- Publication
Turkish Journal of Urology, 2019, Vol 45, Issue 5, p331
- ISSN
1300-5804
- Publication type
Article
- DOI
10.5152/tud.2019.19068