Intraoperative Ureteral Identification Utilizing StimSite&#8482 Technology during Robotic-Assisted Sacral Colpopexy Procedure: A Case Report

Abstract

Identification of the pelvic ureter location is crucial during robotic-assisted sacral colpopexy procedures to avoid iatrogenic injury. In this case study, StimSite&#8482 technology (Allotrope Medical; Houston, TX) was used to assist with ureter identification. StimSite is a novel, minimally invasive surgical device designed to facilitate ureter identification by delivering on-demand mild electrical impulses to stimulate visible ureteral peristalsis. Visualization of the ureter can help prevent inadvertent injury which can cause significant patient morbidity, and in some cases mortality. The use of StimSite permitted ureter mapping along the pelvic sidewall and assisted with creating the proper perito neal dissection for synthetic mesh placement. StimSite provides a minima lly invasive, time - conscious option for real-time ureter identif ication during robotic-assisted sacral colpopexy procedures.