Robotic Pelvic Floor Surgery

What is Uterine or Vaginal Vault Prolapse

A weakening of the pelvic floor muscles and tissues that support the pelvic region causes pelvic floor disorders. The pelvis has a "hammock" or "sling" of muscles, located in the lower abdomen, that stretch across your pelvic floor. For both men and women, the pelvic floor supports the bladder, bowel, rectum and urethra and maintains urinary and fecal continence. In women, these are the muscles that support the uterus and play an important role in vaginal childbirth. Over time they may become stretched or weakened.

Women with pelvic organ prolapse typically have problems with urinary incontinence, vaginal ulceration, sexual dysfunction and/or having bowel movements. Symptoms of a pelvic floor disorder can be minor to major, depending on the position of the organs, and may include a feeling of pressure in the vagina, pain in the abdomen or during sex. Urinary troubles are also common such as urge or stress incontinence and/or a feeling of not being able to completely empty the bladder. In addition, prolapse can contribute to bowel problems including constipation, incomplete emptying or fecal incontinence.

For those with severe prolapse, the uterus, bladder or rectum may descend or bulge into the vagina, sometimes to where they can actually be seen protruding from the vaginal opening.

When the muscles or ligaments support the pelvic organs break or weaken, the condition is called pelvic organ prolapse, which can also result from pelvic injury associated with the abdominal pressure of coughing, heavy lifting, constipation, pelvic surgery, neurological injury, obesity, menopause and hormonal deprivation or medications. Anatomical abnormalities are another cause for women experiencing these same functional symptoms.

Robotic Sacrocolpopexy

Sacrocolpopexy is a surgical procedure that can be used to correct vaginal prolapse. During the procedure, a piece of mesh is attached to the top of the vagina and the other end is attached to the sacral promontory that is located at the back of the pelvic floor and lower part of the spine. Surgeons use specially designed instruments to lift the prolapsed organs back to their correct anatomical position and attach them with permanent sutures.

By using the daVinci robot, surgeons are able to perform the procedure through several small incisions instead of a large single incision. That can result in:

  • Shorter hospital stays
  • Less pain
  • Less blood loss and less need for transfusions
  • Less scarring

The GW Pelvic Floor Center offers both diagnosis and treatment of pelvic organ prolapse including minimally invasive and robotic surgery to restore the anatomy of the vagina and structural support to their normal states.

This Draft Has Sidebar Blocks
Sidebar Block 1
Tiffany Sotelo, MD
Sidebar Block 2
More
Information
Sidebar Block 3
Sidebar Block 4

 

The George Washington University Hospital is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.         

The George Washington University Hospital
900 23rd St., NW
Washington, DC 20037
202-715-4000

PRIVACY POLICY / HIPAA STATEMENT / PHYSICIAN DISCLAIMER
© 2014 The George Washington University Hospital. All rights reserved.

Note:The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither The George Washington University Hospital , or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this Web site.           

The information, content and artwork provided by this Web site is intended for non-commercial use by the reader. The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. The making of additional copies is prohibited.