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Trends in sacral colpopexy for the management of apical prolapse.

OBJECTIVE
To evaluate trends in surgical approach for sacral colpopexy since the advent of robotic technology for gynecologic procedures.


STUDY DESIGN
Women who underwent surgery for uterovaginal prolapse, cystocele, and/orvaginalvault prolapse were included in this study. The number of patients undergoing a vaginal approach for prolapse was compared to the number of patients receiving sacral colpopexy. Descriptive statistics comprised means and standard deviations, while categorical data were reported as frequencies. Inferential statistics comprised Student's t-test for assessing two-group differences between means ofcontinuous, normally distributed data and chi-squared tests for comparisons of equality of distribution between categorical variables.


RESULTS
Patients undergoing sacral colpopexy were younger than their vaginal surgery counterparts (P< 0.001). When stage ofprolapsewas dichotomized, among those with stage 1-2 prolapse, a greater percentage of patients received colpopexy in favor of vaginal surgery in 2010 than in 2007 (P=0.001).


CONCLUSION
There is an increasing trend towards robotic-assisted sacralcolpopexyforthe management of apical prolapse.