Review

Transvaginal mesh for POP: an endless story with a strong present and future in Italy and in all Europe

10.34057/PPj.2019.38.03.005

  • FRANCESCO DELTETTO
  • AMERIGO VITAGLIANO
  • IRENE DELTETTO

Pelviperineology 2019;38(3):89-95

Vaginal vault prolapse is observed with increasing frequency in the era of increasingly aging populations. Various surgical techniques have been established, varying in performance, difficulty, outcomes and most importantly complications. A bilateral sacrospinous colposuspension technique (BSC) with a corresponding mesh prosthesis was developed using a direct I-Stitch fixation of the 38 microgram mesh from the vaginal apex or uterine cervix to the sacrospinous ligament or the parasacral tendinous region for the treatment of an anatomical central pelvic floor defect. As a minimally invasive approach with the potential for conservation of the uterus, this technique should be applicable to all age groups including the increasingly frequent elderly patient with significant co-morbidities.

Keywords: Pelvic organ prolapse; POP; Mesh; Fascial surgery; Women health; FDA; Urogynaecology