Single-incision vaginal mesh procedure

BSC Mesh

BSC Mesh is designed to induce the formation of neo-ligaments by establishing symmetrical, bilateral suspension of the vaginal vault from the sacrospinous ligament. It recreates the support previously provided by the natural ligaments, which are no longer functioning.

Indication

Transvaginal reconstructive surgery of symptomatic POP with or without urinary incontinence:

  • Complex cases
  • Secondary surgical treatment
  • High risk for POP recurrence:
    • Cervical prolapse
    • Vaginal vault prolapse
    • Uterine prolapse
    • Cystocele
    • Rectocele

Facts

  • Considered as a minimally invasive form of correction for POP
  • Neo-ligament resuspends apical vaginal vault bilaterally to the sacrospinous ligament (Level 1 defect according to DeLancey)
  • BSC Mesh can be fixed to the cervix/vaginal vault anterior or posterior.
  • BSC Mesh can be combined with other reconstructive procedures:
    • With / without / after hysterectomy
    • With / without / after anterior / posterior colporrhaphy
    • With / without / after suburethral or transobturator sling placement

Benefits 1,2

  • BSC Mesh can successfully cure pelvic organ prolapse in more than 90% of patients (in long-term follow-up with >5 years)
  • BSC Mesh has low rates of erosion (<1.2% in long-term follow-up with >5 years)

Clinical Data

  • Objective success rate: 95.4 1,2
  • Erosions between 0 – 1.9% 2,3,4,5
Brochure Solutions for Urogynecology
Publication Overview Pelvic Organ Prolapse (POP)

Unique – The A.M.I. HexaPro mesh

What makes the A.M.I. HexaPro mesh material unique:

  • Ultra-lightweight mesh material 21 g/m2
  • Hexagonal structure for isoelasticity
  • Wide-pore structure ≥ 1,9 mm
  • Macroporous
  • 93% Porosity
  • Extra-large interstitial micropores: 100-150 μm
  • Monofilament polypropylene

+Accessories

  • i-Stich
  • i-Stitch loading unit

Order information

Download

Surgery video

i-Stitch animation

References

1 Data on file

2 Weiße et al. (2021)
Bilaterale sacrospinale Zerviko-/Kolpofixation mittels BSC-Mesh im Rahmen der vaginalen Deszensuschirurgie – eine retrospektive Datenanalyse

3 Ollig et al (2014)
Die Kolposuspension mit BSC direct – Minimal invasiv, maximal effektiv

4 Ollig et al.
Die Bilaterale Sakrospinale Kolposuspension – BSC wenig Nebenwirkungen

5 Castaño et al. (2015)
Colposuspensión bilateral del ligamento sacroespinoso con malla BSC asociada a colporrafia anterior para el tratamiento del prolapso anterior y apical. Nuestra experiencia

6 Zalewski et al. (2015)
The assessment of quality of life and satisfaction with life of patients before and after surgery of an isolated apical defect using synthetic materials