Robotic sacrocolpopexy

Robotic sacrocolpopexy is a minimally invasive surgery used to repair pelvic organ prolapse. The condition happens when the muscles and tissues that support the pelvic organs become weak or damaged. This can allow organs like the bladder, uterus, or rectum to shift out of place and press into the vagina. During the sacrocolpopexy procedure, surgical mesh is used to lift the organs back into their proper position and hold them in place. This approach uses smaller incisions, which can mean less blood loss and a faster recovery time than traditional surgery.

At Penn Medicine, our urogynecologic surgeons perform robotic sacrocolpopexy using the da Vinci surgical system. This technology translates the surgeon’s hand movements into precise actions with tiny instruments inside the body. Our team has extensive training in robotic pelvic floor surgery, with a focus on safe, effective care and a smoother recovery.

Robotic sacrocolpopexy surgery may be considered if your symptoms continue after trying nonsurgical pelvic floor therapy options. 

The procedure can correct several types of pelvic organ prolapse, including:

• Cystocele
• Enterocele
• Rectocele
• Uterine prolapse
• Vaginal vault prolapse

Robotic sacrocolpopexy is performed under general anesthesia, so you’ll be asleep and won’t feel pain. The surgeon makes a few small incisions in the lower abdomen and inserts a tiny camera and specialized instruments. By using a robotic controller, the surgeon can move these tools with great precision. 

The surgeon repositions the pelvic organs and attaches a mesh graft to support them. The mesh is secured to a strong ligament or bone near the sacrum, a large, triangular bone at the base of the spine. This acts like a lift to hold the organs in place. In some cases, additional repairs are done to support the bladder or rectum. If needed, a hysterectomy may be performed at the same time. Once the repair is complete, the instruments are removed and the incisions are closed.

The entire process usually takes two to four hours. After the procedure, you’ll move to a recovery area, where the care team will monitor you as you wake up from anesthesia. 

You may stay overnight in the hospital for observation, but many people go home the same day. Before you leave, your care team will check that you can empty your bladder on your own. If needed, you may go home with a temporary catheter for a few days until normal function returns. It’s common to have some spotting, mild swelling, or gas pains for the first few days. You’ll be encouraged to move around early to prevent blood clots.

Robotic sacrocolpopexy recovery time is usually about six to eight weeks. During this time, you’ll need to avoid heavy lifting and limit certain activities, including sex, as advised. A follow-up visit is usually scheduled within two weeks to make sure you’re healing well.

While robotic surgery is designed to be safer and less invasive, every surgical procedure has some risks. These can include infection, bleeding, or reactions to anesthesia. There’s also a chance that prolapse symptoms could return over time. Mesh-related complications are uncommon but possible.

Your care team will review risks and benefits with you and answer any questions. Taking steps like avoiding heavy straining and following recovery guidelines can support long-term results.

Robotic sacrocolpopexy is one of several pelvic reconstructive surgery options used to restore pelvic support and function. At Penn Medicine, our urogynecology team evaluates your symptoms and overall health to recommend the least invasive approach that can effectively treat your condition.

Care brings together specialists across pelvic health, including urogynecology, pelvic floor physical therapy, and colorectal and gynecologic surgery when needed. This team-based approach supports you before, during, and after treatment, with a focus on relieving symptoms, improving function, and helping you return to daily life with greater comfort.