Robotic Sacral Colpopexy Using Autologous Fascia Lata Compared with Mesh

Objective: The objective is to compare robotic sacral colpopexy (RSC) utilizing autologous fascia lata with RSC synthetic mesh in the treatment of pelvic organ prolapse (POP). Methods: We performed a prospective nonrandomized case comparison trial at single institution. compared either or women symptomatic POP, stages II through IV. primary outcome was anatomic recurrence determined by Pelvic Organ Prolapse Quantification (POP-Q) examination. Secondary outcomes included patient-reported such as Urogenital Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7). Complications were also recorded categorized using Clavien–Dindo (CD) system. hypothesis that would provide equivalent while eliminating mesh-related complications. Results: Sixty-four underwent 19 (29.7%) receiving graft. overall operative time greater group mean harvest 24.8 ± 7.4 minutes. Intragroup comparisons groups demonstrated significant improvement measurements well outcomes. Intergroup success rates 12.1 8.7 months follow-up. There one apical failure group; however, difference not statistically (p = 0.30). Significant complications two CD-II CD-IIIb. In there erosion requiring surgical excision (CD-IIIb). Conclusion: This first between mesh. Short-term similar use without risk erosion. Morbidity from graft site trivial. These results emphasize need for randomized controlled trial.