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Inicio Actas Urológicas Españolas (English Edition) Robotic sacrocolpopexy for the treatment of pelvic organ prolapse in elderly wom...
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Vol. 48. Issue 8.
Pages 611-617 (October 2024)
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Vol. 48. Issue 8.
Pages 611-617 (October 2024)
Original article
Robotic sacrocolpopexy for the treatment of pelvic organ prolapse in elderly women: comparative analysis of safety and efficacy versus younger women
Colposacropexia robótica para el tratamiento del prolapso de órganos pélvicos en mujeres de edad avanzada: análisis comparativo de la seguridad y eficacia frente a mujeres jóvenes
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D. Carracedo Calvo, N. Pereira Rodriguez
Corresponding author
natpereirar@gmail.com

Corresponding author.
, P. Moscatiello, T. Jerez Izquierdo, E. Meilán Hernández, M. Toledo Jimenez, I. Hernández Bermejo, H. Gimbernat Diaz, M. Sánchez Encinas
Hospital Universitario Rey Juan Carlos, Madrid, Spain
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Figures (2)
Tables (5)
Table 1. Baseline characteristics of the patients according to age group.
Table 2. Prolapse characteristics according to age group.
Table 3. Intraoperative and hospital stay data.
Table 4. Perioperative complications and follow-up time.
Table 5. Postoperative outcomes and satisfaction rate according to age group.
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Abstract
Introduction

Pelvic organ prolapse is a condition with high prevalence in elderly women. With increasing life expectancy and a desire for improved quality of life, a rise in the frequency of surgical treatments for these women is anticipated. The aim is to compare complication, success, and satisfaction rates among elderly patients (aged >70 years) in comparison to younger women undergoing robotic sacrocolpopexy, thereby assessing the safety and efficacy of this surgery in this group of patients.

Method

A prospective observational comparative study of 123 robotic sacrocolpopexies conducted between December 2016 and June 2022. Patients were stratified by age (cutoff point: 70 years). Baseline characteristics, type, and grade of prolapse, intra and postoperative data, complications, functional and anatomical outcomes, and satisfaction levels were collected.

Results

Among the 123 patients, 62.6% were under 70 years old, while 37.4% were 70 years or older, exhibiting similar baseline characteristics, prolapse grade, and type. The percentages of intraoperative (6.5%) and postoperative complications (4.4–9%) were comparable in both age groups. Furthermore, success and satisfaction rates exceeded 90%, with no significant differences between women under and over 70 years during a two-year follow-up.

Conclusion

Robotic sacrocolpopexy is at least as effective and safe in women aged 70 years or older as in younger individuals, with no higher rates of intra and postoperative complications and similar rates of anatomical and subjective success.

Keywords:
Prolapse
Sacrocolpopexy
Robotics
Advanced age
Complications
Safety
Resumen
Introducción

El prolapso de órganos pélvicos es una patología con alta prevalencia en mujeres de edad avanzada. Con el aumento de la esperanza de vida y la búsqueda de una mejor calidad de vida se prevé un incremento en la frecuencia de tratamientos quirúrgicos en estas mujeres. El objetivo es comparar la tasa de complicaciones, éxito y satisfacción en pacientes de edad avanzada (>70 años) frente mujeres jóvenes intervenidas mediante colposacropexia robótica y así valorar la seguridad y eficacia de esta cirugía en dicho grupo de pacientes.

Método

Estudio observacional prospectivo comparativo de 123 colposacropexias robóticas entre diciembre 2016 y junio 2022. Las pacientes fueron estratificadas según edad (punto de corte 70 años). Se recopilaron las características basales, tipo y grado de prolapso, datos intra y postoperatorios, complicaciones, resultados funcionales y anatómicos y grado de satisfacción.

Resultados

Entre las 123 pacientes, el 62.6% tenía menos de 70 años, mientras que el 37.4% tenía 70 años o más, presentando características basales, grado y tipo de prolapso similares. Los porcentajes de complicaciones intraoperatorias (6.5%) y postoperatorias (4.4–9%) fueron comparables en ambos grupos de edad. Además, las tasas de éxito y satisfacción fueron superiores al 90%, sin diferencias significativas entre mujeres menores y mayores de 70 años durante un seguimiento de dos años.

Conclusión

La colposacropexia robótica es al menos tan eficaz y segura en mujeres de 70 años o mayores como en jóvenes sin mayor tasa de complicaciones intra y postoperatorias y con una tasa de éxito anatómico y subjetivo similar.

Palabras clave:
Prolapso
Colposacropexia
Robótica
Edad avanzada
Complicaciones
Seguridad

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