E-Posters-A Novel, Meshless Method of Vaginal Colpopexy by Sacrospinous Ligament Fixation to Treat Pelvic Organ Prolapse

A Novel, Meshless Method of Vaginal Colpopexy by Sacrospinous Ligament Fixation to Treat Pelvic Organ Prolapse - Vincent Lucente, MD

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This document discusses a novel, meshless method of vaginal colpopexy, specifically using the NeuGuide™ system, to treat pelvic organ prolapse (POP). The study aimed to assess the safety and durability of the NeuGuide™ system in women over 40 years of age with symptomatic POP. The procedure involved inserting the NeuGuide™ device on either side of the vaginal apex, providing suspension to the sacrospinous ligaments. This minimally invasive approach did not require deep pelvic dissection or the use of mesh implants.<br /><br />Results from a follow-up study of 14 patients (after 6 months) showed positive outcomes. The patients' mean age was 71 years, and all were post-menopausal with complaints of vaginal bulging. None of the patients had stress incontinence requiring surgical treatment. The average preoperative POP-Q scores were improved 6 months following the NeuGuide procedure.<br /><br />The document concludes that the NeuGuide™ system is safe, effective, and durable through 6 months. The procedure is considered minimally invasive, as it does not involve deep pelvic dissection or the use of mesh implants. Furthermore, the NeuGuide™ system can be used as part of a comprehensive surgical approach to treat POP, alongside other transvaginal procedures such as mid-urethral sling and anterior/posterior repair.<br /><br />Overall, the study suggests that the NeuGuide™ system is a promising option for vaginal colpopexy in treating pelvic organ prolapse. It provides a meshless, minimally invasive alternative to traditional methods and can be used in combination with other surgical procedures.

Keywords

vaginal colpopexy

meshless method

NeuGuide™ system

pelvic organ prolapse

minimally invasive approach

sacrospinous ligaments

follow-up study

positive outcomes

POP-Q scores

comprehensive surgical approach