Featured Research

from universities, journals, and other organizations

Robotic, Fast Fix As Effective As Full Surgery For Post-hysterectomy Sagging Vagina

Date:
February 23, 2004
Source:
Mayo Clinic
Summary:
An initial Mayo Clinic study has confirmed the effectiveness and durability over time of a patient-friendly, robot-assisted procedure that corrects a complication that can follow hysterectomy.

ROCHESTER, Minn. -- An initial Mayo Clinic study has confirmed the effectiveness and durability over time of a patient-friendly, robot-assisted procedure that corrects a complication that can follow hysterectomy. The study, published in the February issue of Urology, is the first in the United States to examine the feasibility of using this method to repair vaginal vault prolapse, or collapsed vaginal walls.

"The benefit to the patient is dramatic," says Daniel Elliott, M.D., Mayo Clinic urologist and one of the lead study authors. "It's fast, markedly less painful and a strong repair, with much quicker recovery."

Mayo Clinic is the first medical center in the United States to offer this procedure, formally called "robotic-assisted laparoscopic sacrocolpopexy." It pins back in place the top of a vagina that has fallen down within the vaginal canal or even outside the vaginal opening.

A drooping vaginal wall most commonly occurs when the top of the vagina falls in on itself as the pelvic floor muscles lose strength following a hysterectomy, which one in nine American women undergo. Following hysterectomy, up to 10 percent of women experience sagging of the vagina that requires surgical repair.

"The uterus acts like an anchor," says Dr. Elliott. "So, if the vagina loses its support, sometimes it inverts itself and comes out."

Signs of vaginal vault prolapse include: incontinence, pain during sexual intercourse, a feeling of fullness in the pelvic region, a sore back, or a lump drooping into the vaginal canal or even protruding outside of the body through the vaginal opening. Women who have this condition may find sitting, standing and walking uncomfortable.

In the traditional full, open surgery for vaginal vault prolapse, women have to undergo a four- to five-day stay in the hospital, a sizable abdominal incision and a recovery period of about six weeks, including abstinence from intercourse. In the new robotic procedure, however, the patient is kept in the hospital only overnight and has a much reduced recovery time, although she is still advised to abstain from intercourse for six weeks. Most importantly, the patients on whom the Mayo Clinic urologists performed the new repair have yet to have any problems with recurrence of the prolapse.

In the new robotic approach, the surgeon operates remotely from a computer terminal, guiding the robotic hand that performs the surgery, rather than standing over the patient. This technique also offers 3-D vision, better ability to maneuver and reduction of any tremor that might be present in the human hand.

As this study's aim was to test initial feasibility, it included the first five women to undergo the procedure at Mayo Clinic. Prior to the repair, two patients had grade three prolapse and three women were classified as grade four, the highest degree of prolapse.

Mayo Clinic urologists have now performed 18 robotic vaginal repair procedures, according to co-author George Chow, M.D., with equally successful or even superior results to those seen in the first five women.

For more information about this procedure, call the Mayo Clinic Urology Research Unit at 507-255-3986.


Story Source:

The above story is based on materials provided by Mayo Clinic. Note: Materials may be edited for content and length.


Cite This Page:

Mayo Clinic. "Robotic, Fast Fix As Effective As Full Surgery For Post-hysterectomy Sagging Vagina." ScienceDaily. ScienceDaily, 23 February 2004. <www.sciencedaily.com/releases/2004/02/040223074015.htm>.
Mayo Clinic. (2004, February 23). Robotic, Fast Fix As Effective As Full Surgery For Post-hysterectomy Sagging Vagina. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2004/02/040223074015.htm
Mayo Clinic. "Robotic, Fast Fix As Effective As Full Surgery For Post-hysterectomy Sagging Vagina." ScienceDaily. www.sciencedaily.com/releases/2004/02/040223074015.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Some Positive Ebola News: Outbreak 'Contained' In Nigeria

Newsy (Sep. 30, 2014) The CDC says a new case of Ebola has not been reported in Nigeria for more than 21 days, leading to hopes the outbreak might be nearing its end. Video provided by Newsy
Powered by NewsLook.com
UN Ebola Mission Head: Immediate Action Is Crucial

UN Ebola Mission Head: Immediate Action Is Crucial

AFP (Sep. 30, 2014) The newly appointed head of the United Nations Mission for Ebola Emergency Response (UNMEER), Anthony Banbury, outlines operations to tackle the virus. Duration: 00:39 Video provided by AFP
Powered by NewsLook.com
CDC Confirms First Case of Ebola in US

CDC Confirms First Case of Ebola in US

AP (Sep. 30, 2014) The CDC has confirmed the first diagnosed case of Ebola in the United States. The patient is being treated at a Dallas hospital after traveling earlier this month from Liberia. (Sept. 30) Video provided by AP
Powered by NewsLook.com
New Breast Cancer Drug Extends Lives In Clinical Trial

New Breast Cancer Drug Extends Lives In Clinical Trial

Newsy (Sep. 30, 2014) In a clinical trial, breast cancer patients lived an average of 15 months longer when they received new drug Perjeta along with Herceptin. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins