The NYU Langone Robotic Surgery Center offers several procedures to surgically correct prolapse and/or herniation of the vagina, uterus, and bladder (cystocele). One common approach combines a robotic hysterectomy with a robotic sacrocolpopexy procedure, in which mesh is used to anchor the cervix to the sacral bone (a large triangular bone located in the upper back of the pelvis), thereby lifting the vagina and bladder into their normal anatomic positions. Robotic sacrocolpopexy can also be performed in women who have suffered a prolapse of the vagina (and sometimes the intestines as well—a condition known as enterocele) following a prior hysterectomy.
In cases where a woman desires preservation of her uterus, a robotic sacrohysteropexy can often be performed instead. This may be desirable in a young, sexually active woman who does not want to eliminate the option of future fertility. This particular technique preserves the uterus and avoids hysterectomy by using mesh to anchor both the uterus and cervix to the sacral bone, thereby lifting the uterus, vagina and bladder into their normal anatomic positions.