Cosmesis and Body Image After Robotic Sacrocolpopexy

INTRODUCTION AND HYPOTHESIS: Satisfaction of surgical scars after robotic sacrocolpopexy have not yet been explored. OBJECTIVE: To determine differences in patient perception of body image and cosmesis following single port (SP) versus traditional multiport (TMP) robotic sacrocolpopexy. METHODS: We performed a prospective cohort study at a single tertiary care center of women undergoing robotic sacrocolpopexy between September 2023 and December 2024. Women undergoing SP or TMP robotic sacrocolpopexy for prolapse were included. At 3 months after surgery, participants completed the Body Image Questionnaire (BIQ). The BIQ is a 10-item survey which includes a body image, cosmetic, and self-confidence scale used to assess a patient's perception of body image and cosmesis after surgery. Low scores on the body image scale and high scores on the cosmetic indicated higher patient satisfaction. Changes in preoperative and postoperative self-confidence scores were calculated. A positive change in scores was associated with higher self-confidence after surgery. RESULTS: One hundred fourteen participants underwent robotic sacrocolpopexy: 63 (45%) SP and 77 (55%) TMP robot. Median (range) body image scale and cosmetic scale scores for the entire cohort were 5 (5-16) and 20 (5-24), respectively. Median preoperative and postoperative self-confidence scores were 8 (0-10) and 8 (2-10), respectively. There were no significant differences in total body image scale (p = 0.55) and cosmetic scale (p = 0.17) scores between groups. Change in self-confidence score after surgery was also similar (p = 0.14). CONCLUSIONS: Women were highly satisfied with their body image and cosmesis of surgical scars after robotic sacrocolpopexy without significant differences between SP and TMP approaches.