Robot-Assisted Laparoscopic Sacrouteropexy for Pelvic Organ Prolapse in Classical Bladder Exstrophy

Abstract

Classical bladder exstrophy is a rare congenital anomaly with male predominance. When occurring in women, the accompanying anatomical and functional abnormalities, including pelvic organ prolapse, may cause significant problems in both pediatric and adult patients. The robotic surgical approach to pelvic organ prolapse has not been described for bladder exstrophy as it has been in otherwise normal women. We report our technique with the first robot-assisted laparoscopic sacrouteropexy for Baden–Walker grade-four pelvic organ prolapse in an 18-year-old classical bladder exstrophy patient. At 12 months of follow-up, there were no issues or symptoms/evidence of recurrence of pelvic organ prolapse. To our knowledge, this is the first reported robot-assisted laparoscopic sacrouteropexy for pelvic organ prolapse in a previously repaired bladder exstrophy case. This procedure may be a viable option in selected patients.

The authors have nothing to disclose.

Runtime of video: 3 min 16 sec