Incidence of unanticipated uterine pathology at the time of minimally invasive abdominal sacrocolpopexy

Abstract

Study objective: To determine the incidence of unanticipated uterine pathologic findings in women undergoing hysterectomy concomitant with minimally invasive sacrocolpopexy.

Design: Retrospective case series (Canadian Task Force classification III).

Setting: Four institutions in the United States.

Patients: Women undergoing laparoscopic or robotically assisted sacrocolpopexy with hysterectomy.

Interventions: Concurrent hysterectomy and minimally invasive sacrocolpopexy.

Measurements and main results: We measured the incidence of clinically important uterine disease at minimally invasive sacrocolpopexy. A total of 324 women underwent concurrent hysterectomy and minimally invasive sacrocolpopexy. Their mean age was 56.1 years, and body mass index was 26.9 kg/m(2). Sixty-four percent were postmenopausal. Only 3 patients (0.92%) had abnormal uterine pathologic findings. No significant differences were noted in age, body mass index, or parity between the women with normal and abnormal uterine pathologic findings. None of the 3 women reported abnormal uterine bleeding before surgery. All lesions were premalignant and focal. No invasive carcinomas were identified. No patients required further follow-up or treatment of abnormal pathologic findings.

Conclusion: The risk of unanticipated uterine pathologic findings during minimally invasive sacrocolpopexy to treat pelvic organ prolapse is low.

Keywords: Minimally invasive sacrocolpopexy; Pelvic organ prolapsed; Unanticipated pathology.