Design: Retrospective surgical video to review robotic surgical techniques for performing robotic-assisted sacrocolpopexy.

Setting: Patient was placed at 25 degree trendelenburg position. Robotic ports were placed in a shallow W position 10cm from each other.

Patients or Participants: 55-year-old female with previous hysterectomy and stage III pelvic organ prolapse.

Interventions: Robotic-assisted sacrocolpopexy.

Measurements and Main Results: Sacrocolpopexy is the gold standard treatment for pelvic organ prolapse. Indications for sacrocolpopexy include vaginal vault prolapse and advanced or multicompartment prolapse. Complications may include vascular injury, bladder or ureter injury, bowel injury or obstruction, mesh erosion, or rarely discitis or osteomyelitis. In this video we performed robotic-assisted sacrocolpopexy on a patient with previous hysterectomy and stage III pelvic organ prolapse. We reviewed robotic surgical techniques, safe dissection, surgical materials, and anatomy considerations in a patient with previous hysterectomy and pelvic organ prolapse. Immediately post-operatively and at 6 months follow-up, the patient was found to have excellent pelvic support.

Conclusion: Knowledge of appropriate robotic surgical techniques and dissection is the key to performing safe and elegant robotic-assisted sacrocolpopexy.