da Vinci® Sacrocolpopexy for Vaginal Vault Prolapse


This minimally-invasive procedure, performed with the da Vinci® Surgical System, is used to restore a collapsed vagina. In this procedure, a surgical mesh support is anchored to the sacrum and attached to the outside of the vagina, restoring the vagina to its normal position.


After anesthesia is administered, the patient is positioned on an adjustable platform that allows the robotic surgical arms full access to the abdomen. The abdomen is cleaned, sterilized, and inflated with carbon dioxide gas. The gas creates working space for the surgeon's instruments.

Inserting the Vaginal Manipulator

The surgeon's assistant inserts a vaginal manipulator into the vagina, allowing the vagina to be moved and positioned as needed. Depending on the patient's anatomy, a separate manipulator may need to be inserted into the rectum.

Accessing the Abdomen

Five small incisions are created on the abdomen. The surgery will be performed through these tiny holes, rather than the large incision traditionally used for open surgery. The da Vinci® approach minimizes pain, scarring, risk of infection, and recovery time.

Inserting the Endoscope

The surgeon attaches an endoscopic camera and various surgical instruments to the robotic arms and carefully inserts the instruments through the incisions. The surgeon then takes a seat at the console to perform the procedure. A video monitor in the console, which is linked to the endoscope, allows the surgeon to view the surgical site in 3D and precisely control the instruments during the surgery.

Attaching the Mesh

A surgical mesh is inserted and sutured to the front and rear of the vagina. The vagina is carefully lifted, and the end of the mesh is then sutured to a ligament near the base of the spine. The mesh will support the vagina and keep it in its normal position.

End of Procedure and Aftercare

The instruments are removed from the abdomen, and the incisions are closed and bandaged.