Objective: :Central defects in the stability of the pelvic floor present an anatomical problem that afflict women frequently at an advanced age, but also are observed in young women with typical risk factors i.e. obesity and high parity.
Materials and Methods: :Based on the encouraging results of the transperineal bilateral sacrospineous colpofixation technique (TPBCF). the vaginal minimally invasive single incision Bilateral Sacrospineous Colposuspension (BSC) using the extremely macroporous lightweight HexaPro polypropylene tape in combination with the i-Stitch instrumentation was developed in order to minimize the amount of foreign body implanted into the patient, facilitate ingrowth of the mesh and for the first time add elasticity and a self-adjusting character to the profile of apical suspension.
Results: :In a study of 132 patients with vaginal prolapse surgical and functional outcomes of BSC have been evaluated with 6 months followup. No rectal injury was observed nor was any re-intervention required for any complications. Apical support was reliably achieved. These results were stable when compared with follow-up data at six months postoperatively. No erosion was seen with the exception of a traumatic mesh exposure after vaginal delivery.
Conclusion: :The authors conclude, that BSC is an efficient minimally invasive technique for the treatment of female genital prolapse with a very favourable risk/benefit ratio.
Corresponding Author: HEMPTENMACHER F.|