ABSTRACT
Apical support has traditionally been treated with either a sacrocolpopexy or uterosacral suspension. This chapter focuses on sacrocolpopexy, particularly robotic sacrocolpopexy. Beginning by looking at the required patient selection and positioning, it then examines port placement, bowel manipulation, sacral dissection, anterior dissection, and posterior dissection. It then analyzes choice of suture, cystoscopy, and possible complications. Next, sacrohysteropexy is looked at, along with its outcomes. It finally concludes that robotic sacrocolpopexy is a safe procedure for apical vaginal prolapse. It has been performed since 2006 with good short-term results, but long-term data are needed.
