Robotic Surgery

Pelvic prolapse occurs when a pelvic organ, such as your vagina or uterus slips out of its normal position. Surgery to correct this condition is called sacrocolpopexy. During surgery, doctors use surgical mesh to keep your pelvic organ(s) in the correct spot and ease your symptoms.

Pelvic prolapse surgery can be done with open surgery through one large incision. It can also be done with minimally invasive surgery using traditional laparoscopy or da Vinci® Pelvic Prolapse Surgery.

Sacrocolpopexy is performed either though an abdominal incision or ‘keyholes’ (using a laparoscope or with a surgical robot), under general anesthesia. The vagina is first freed from the bladder at the front and the rectum and the back. A graft made of permanent synthetic mesh is used to cover the front and back surfaces of the vagina. The mesh is then attached to the sacrum (tail bone). The mesh is then covered by a layer of tissue called the peritoneum that lines the abdominal cavity; this prevents the bowel from getting stuck in the mesh. Sacrocolpopexy can be performed at the same time as surgery for incontinence or vaginal repair for bladder or bowel prolapse.

Studies show that 80 to 90% of women having sacrocolpopexy are cured of their prolapse and prolapse symptoms. Following surgery there is a small risk of prolapse developing in another part of the vagina, such as the front wall that supports the bladder. If this does develop it may require further surgery.

The da Vinci® System is a robotic-assisted surgical device that Dr. Pezzella is 100% in control of at all times. The da Vinci® System also gives your surgeon a 3D HD view inside your body, wristed instruments that bend and rotate far greater than the human hand and enhanced vision, precision and control.