Impact of Obesity on Robotic-Assisted Sacrocolpopexy

Study Objective To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates. Design Retrospective cohort study (Canadian Task Force classification II-2). Setting University-affiliated teaching hospital. Patients One hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013. Interventions RASC. Measurements and Main Results Of 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m²), 72 (40%) were overweight (BMI 25–30 kg/m²), and 46 (26%) were obese (BMI ≥ 30 kg/m²). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53). Conclusion Obese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.