Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy

Study Objective. To compare the clinical outcomes of robotic retropubic urethropexy versus open retropubic urethropexy. Design. Retrospective case-control study (II-2). Setting. University Hospital. Patients. All patients who underwent robotic retropubic urethropexy from 1/1/12 to 6/1/12 by a single...

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Main Authors: Pooja R. Patel, Mostafa A. Borahay, Audrey R. Puentes, Ana M. Rodriguez, Jessica Delaisse, Gokhan S. Kilic
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2013/315680
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author Pooja R. Patel
Mostafa A. Borahay
Audrey R. Puentes
Ana M. Rodriguez
Jessica Delaisse
Gokhan S. Kilic
author_facet Pooja R. Patel
Mostafa A. Borahay
Audrey R. Puentes
Ana M. Rodriguez
Jessica Delaisse
Gokhan S. Kilic
author_sort Pooja R. Patel
collection DOAJ
description Study Objective. To compare the clinical outcomes of robotic retropubic urethropexy versus open retropubic urethropexy. Design. Retrospective case-control study (II-2). Setting. University Hospital. Patients. All patients who underwent robotic retropubic urethropexy from 1/1/12 to 6/1/12 by a single gynecologic surgeon were included in the case series. The control cases consisted of the last five consecutive open retropubic urethropexies performed by the same surgeon. Main Results. A total of 10 patients (5 robotic cases and 5 open cases) were included in this study. Both groups were similar with respect to age, BMI, and obstetrical history. Mean hospital stay length and mean EBL were overall less for robotic cases than for open cases (1.2 days versus 2.6 days; 169 mL versus 300 mL). One of the 5 patients who underwent the open approach and 2 of the 5 patients who underwent the robotic approach sustained a minor intraoperative complication. All but one patient from each group experienced resolution of incontinence after the procedure. Two of the patients who underwent the open approach had postoperative complications. Conclusions. Robotic retropubic urethropexy may be a feasible alternative to open retropubic urethropexy. A larger study is necessary to support our observations.
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institution Kabale University
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publishDate 2013-01-01
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series Obstetrics and Gynecology International
spelling doaj-art-de9cbe9b2f2f44a382249ceaf0871cf42025-02-03T01:09:25ZengWileyObstetrics and Gynecology International1687-95891687-95972013-01-01201310.1155/2013/315680315680Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic UrethropexyPooja R. Patel0Mostafa A. Borahay1Audrey R. Puentes2Ana M. Rodriguez3Jessica Delaisse4Gokhan S. Kilic5Department of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USADepartment of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USADepartment of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USADepartment of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USADepartment of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USADepartment of Obstetrics and Gynecology, The University of Texas Medical Branch in Galveston, 301 University Boulevard, Galveston, TX 77555-0587, USAStudy Objective. To compare the clinical outcomes of robotic retropubic urethropexy versus open retropubic urethropexy. Design. Retrospective case-control study (II-2). Setting. University Hospital. Patients. All patients who underwent robotic retropubic urethropexy from 1/1/12 to 6/1/12 by a single gynecologic surgeon were included in the case series. The control cases consisted of the last five consecutive open retropubic urethropexies performed by the same surgeon. Main Results. A total of 10 patients (5 robotic cases and 5 open cases) were included in this study. Both groups were similar with respect to age, BMI, and obstetrical history. Mean hospital stay length and mean EBL were overall less for robotic cases than for open cases (1.2 days versus 2.6 days; 169 mL versus 300 mL). One of the 5 patients who underwent the open approach and 2 of the 5 patients who underwent the robotic approach sustained a minor intraoperative complication. All but one patient from each group experienced resolution of incontinence after the procedure. Two of the patients who underwent the open approach had postoperative complications. Conclusions. Robotic retropubic urethropexy may be a feasible alternative to open retropubic urethropexy. A larger study is necessary to support our observations.http://dx.doi.org/10.1155/2013/315680
spellingShingle Pooja R. Patel
Mostafa A. Borahay
Audrey R. Puentes
Ana M. Rodriguez
Jessica Delaisse
Gokhan S. Kilic
Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
Obstetrics and Gynecology International
title Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
title_full Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
title_fullStr Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
title_full_unstemmed Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
title_short Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
title_sort initial experience with robotic retropubic urethropexy compared to open retropubic urethropexy
url http://dx.doi.org/10.1155/2013/315680
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