Incontinence & Female Urology & Neurourology(구연) Oral Session2 / Incontinence & female urology (O-021) Rm.203 10월 30일(수) 13:00-14:00 골반 장기 탈출증을 동반한 여성에서의 로봇 보조 천골질 고정술과 천골자궁 고정술의 수술 결과 및 안정성 성균관대학교 의과대학, 삼성서울병원, 비뇨의학과교실 변혜진, 이규성 Introduction: This study aimed to investigate the surgical outcomes and safety of robot-assisted laparoscopic sacrocolpopexy (RALSC) and sacrohysteropexy (RALSH) in patients with uterine/vaginal vault prolapse. Methods: Between January 2009 and May 2019, 30 women with apical prolapse underwent RALSC(n=7) and RALSH(n=23). Pelvic organ prolapse quantification (POP-Q) examination was performed, and treatment success was defined as the presence of grade 0 or I apical prolapse upon POP-Q examination at the final follow-up. Pelvic floor distress inventory-short form 20 (PFDI-SF 20) was administered at every follow-up. Results: Median age was 65 years (interquartile range [IQR], 56-70 years), and follow-up duration was 25.3 months (IQR, 4.2-34.0 months). Twenty-four women (80%) had grade III apical prolapse. Six women (20%) had grade IV. Operation time (console time) was 240 minutes (IQR, 226-288 minutes), and blood loss was 100 mL (IQR, 50-150 mL). Median hospital stay was 4 days (IQR, 3-5 days). At the final follow-up, treatment success was reported in all patients, who presented grade 0 (n=15, 62.5%) and grade I (n=9, 37.5%) apical prolapse. Dramatic improvements in PFDI-SF 20 scores were noted after RALSC and RALSH (from 27.5 to 4; p=0.001). An intraoperative complication (sacral venous plexus injury) was reported in 1 patient, and there was no conversion to open surgery. Mesh erosion was not reported. Conclusions: Most patients were satisfied. RALSC and RALSH are an efficient and safe method. Thus, they might be one of the best treatment options for apical prolapse in women. keywords : Pelvic organ prolapse, Uterine Prolapse, Robot-assisted Sacrocolpopexy