Robotic Compared With Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial

Robotic sacrocolpopexy had significantly higher initial day of surgery hospital costs ($19,616 vs $11,573, p<0.001) and 6-week hospital costs ($20,898 vs $12,170, p<0.001) compared with laparoscopic s

Effect: adverse; $19,616 vs $11,573

Women in the robotic sacrocolpopexy group reported significantly more pain at normal activities at 1 week (3.5 +/- 2.1 vs 2.6 +/- 2.2, p=0.044), more unpleasantness of worst pain (2.4 +/- 2.0 vs 1.8 +

Effect: adverse; 3.5 vs 2.6

At 6 months, there was no difference between robotic and laparoscopic sacrocolpopexy groups in POPQ measurements, PFDI/PFIQ subscales, recurrent urinary incontinence symptoms, subsequent sling surgery

Effect: null; EQ-5D 0.90 vs 0.91

Robotic sacrocolpopexy had significantly longer laparoscopic procedure time than laparoscopic sacrocolpopexy (202.8 vs 178.4 minutes, p=0.030), an average of 24.4 minutes longer, attributable to robot

Effect: adverse; 202.8 min vs 178.4 min

There was no significant difference in adverse event rates or severity between robotic and laparoscopic sacrocolpopexy groups based on an indexed severity score (p=0.868), with 6 AE in the robotic arm

Effect: null; indexed AE severity p = 0.868