DaVINCI ROBOTIC ABDOMINAL SACRAL COLPOPEXY

 

The sacral colpopexy is a treatment for vaginal vault prolapse (herniation of the vaginal contents - uterine prolapse, enterocele and cystocele). The procedure can be performed laparoscopically, open abdominally and is now commonly performed robotically/ laparoscopically assisted. Open sacral colpopexies have shown up to 90-95% success rates (Ingrid Nygaard, MD) and is considered the gold standard for significant prolapse.

 

The procedure incorporates synthetic mesh to suspend the vagina internally once it is sewed to the top and bottom sides of the vagina (or uterus for a hysteropexy/uterine preservation). The opposite end of the mesh (same mesh as general surgeons use, also intra-abdominally for other types of hernia repairs) is attached to a ligament on the sacrum. Overlying tissue is sewed over to decreased risk of bowel obstruction. Cystoscopy to look inside the bladder is performed to verify the tubes from the kidneys are draining well and the bladder is intact.

 

The advantage of a robotic/laparosopic approach is to decrease the post operative recovery time, bleeding and pain as the procedure is performed through less than 1 cm incisions typically. There is always a risk of a conversion to an open procedure as well as bleeding, infection, failure and need for further procedures. A concomitant sling procedure and vaginoplasty may be performed if necessary.

 

 

 

 

 

 

 

 Dr. Darlene Gaynor-Krupnick

361 Medical Office Building East

100 Lancaster Avenue

Wynnewood, PA  19096

610-649-6420

 

 

 UROLOGY HEALTH OFFICE LOCATIONS

ABINGTON
1235 Old York Road
Abington, PA 19001
215-517-1100

 

BROOMALL

1974 Sproul Road, Suite 106

Broomall, PA 19008

610-259-3000

BRYN MAWR
245 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
610-525-2515

 

 

HUNTINGDON VALLEY
1800 Byberry Road

Suite 1203
Huntingdon Valley, PA 19006
215-947-4105

 

MEDIA
1088 West Baltimore Pike

HCC II, Suite 2304
Media, PA 19063
610-744-2844

PAOLI
4 Industrial Boulevard

Suite 180
Paoli, PA 19301
610-525-2515

PHILA - CHESTNUT HILL

8815 Germantown Avenue

Suite 46
Philadelphia, PA 19118
215-242-8260

PLYMOUTH MEETING
400 Davis Drive, Suite 200
Plymouth Meeting, PA 19462

215-242-8260

 

WEST GROVE-CHESTER COUNTY
455 Woodview Road, Suite 230
West Grove, PA 19390

610-259-3000

WEST GROVE-JENNERSVILLE
1011 West Baltimore Pike
West Grove, PA 19390
610-869-6851

WYNNEWOOD
100 E. Lancaster Ave, East 361
Wynnewood, PA 19096
610-649-6420

 

CORPORATE OFFICE
140 W. Germantown Pike #250
Plymouth Meeting, PA 19462
484-530-0205

BILLING OFFICE
P.O. Box 1287
Blue Bell, PA 19422
 

       


 SURGERY CENTER LOCATIONS                                                                             UH PROSTATE CANCER CENTER

BROOMALL

1974 Sproul Road
Suite 104
Broomall, PA 19008
610-600-9935

HUNTINGDON VALLEY

1800 Byberry Road

Mason Mills II, Suite 1204

Huntingdon Valley, PA 19006

215-947-4105

PAOLI

4 Industrial Boulevard

Suite 175
Paoli, PA 19301
484-320-7700

CANCER CENTER

400 Davis Drive

Suite 200

Plymouth Meeting, PA 19462

610-825-2151

 

 

Urology Health Specialists, LLC is not affiliated with Universal Health Services, Inc. or UHS of Delaware, Inc.