AMBULAPSE STUDY Feasibility Study on Laparoscopic Double-mesh Sacrocolpopexy With or Without Robotic Assistance, in Female Patients Presenting With Symptomatic Pelvic Organ Prolapse, Based on an Outpatient Treatment Model.

In our study, the investigators propose to evaluate the success rate for outpatient laparoscopic sacrocolpopexy with or without robotic assistance in screened patients. With this aim in mind, the investigators will conduct a national multicenter prospective study including 80 female patients. Successful outpatient treatment is defined by the absence of conventional inpatient admission with 24H after surgery, the indications for admission being a CHUNG Score < 9, one perioperative complication, postoperative urinary retention requiring reinsertion of a urinary catheter. The outpatient success rate for other surgical techniques such as cholecystectomy or laparoscopic hysterectomy is above 90% in the literature. Envisaging an equivalent rate after laparoscopic sacrocolpopexy, our population size would make it possible to obtain precision +/- 5.3% for estimation of this proportion. The patients are followed up for 1 month with a postoperative visit at 30 days, during which the efficacy of the technique is evaluated using conventional indicators (POP-Q; ICIQ, USP, PFDI-20, PISQ-12, PFIQ-7, etc.). Once completed, this preliminary investigation will make it possible to define a reference value for successful outpatient sacrocolpopexy, which has not yet been published, which may be used as a basis for a larger scale randomized study that would aim to compare the efficacy of outpatient treatment, with conventional inpatient treatment, for efficient patient management

Inclusion criteria

• woman between 40 and 80 years old
• Patient with significant prolapse POP-Q ≥ 2
• BMI <30
• ASA score ≤ 2
• sterile ECBU

Exclusion criteria

• Criteria related to the pathology or the organ:

• History of pelvic cancer surgery
• History of prolapse surgery
• History of pelvic irradiation
• Laying a concomitant urethral strip
• Cervico-vaginal smear test not up to date.
• Patient pregnant or having a desire for pregnancy
• Criteria related to concomitant treatments:

• Cefazoline allergy
• Taking the following medications within 48 hours
• Plavix®
• Vitamin K / Low Molecular Weight Healing Heparin

• Contraindication to ambulatory care for medical reasons
• Sleep apnea syndrome
• Cardiopulmonary pathology
• Psychiatric pathology
• Hemorrhagic risk
• Diabetes imbalanced
• Unbalanced Hypertension