Vaginal Prolapse Repair

Prosima

During the Prosima procedure, a polypropylene mesh is placed in either in the vesicovaginal or rectrovaginal space (the space between the bladder and vagina or the space between the rectum and vagina). Placement depends on if you have cystocele (prolapse of the bladder), rectocele (prolapse of the rectum) or both. What makes Prosima unique when compared to other transvaginal mesh procedures is the absence of an anchoring device. For this reason, the mesh placement is entirely tension free. A vaginal support device (VSD) is placed in the vaginal space to help with the healing process. The VSD will be removed at your 3 week post-operative exam. This technique for prolapse repair technically results in very little post-operative vaginal pain.

Traditional Prolapse Repairs

The traditional prolapse repair surgery is the Anterior and Posterior Colporrhaphy. This procedure involves the plication (bring together) of the supportive tissue between the bladder and vagina, and rectum and vagina. In some patients not medically able to withstand a vaginal reconstructive procedure, and who do not wish to be sexually active in the future, the choice of treatment may be Total Colpocleisis which brings together the pelvic floor musculature to block the prolapse

Elevate/Prolift

These procedures involve the placement of a porous and pliable mesh. When placed correctly, the mesh becomes incorporated into the patient's tissue and should not be felt by the patient. The mesh that is used is determined by your condition (cystocele, rectocele, enterocele, or vaginal prolapse).

Much attention has been given recently to the potential risks associated with transvaginal mesh repairs. All these risks will be thoroughly addressed by Dr. Shashoua prior to proceeding with either elevate or prolift.