Project Description

  • BSC Mesh
  • BSC Mesh 3D Animation

BSC Mesh – Bilateral Sacrospinous Colposuspension

The logical development of the Amreich-Richter operation through bilateral fixation from the sacrospinous ligament.

Uterosacral neo-ligaments

The BSC Mesh (BSC = Bilateral Sacrospinous Colposuspension) 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.

A minimum of foreign body

The BSC Mesh is made of special, ultralight polypropylene with a hexagonal mesh structure which lends the material its isoelasticity. A very low weight of just 21 g/m2 and very high porosity (93%) lead to rapid anatomical integration with minimal tissue reaction. Together, these properties serve to promote ingrowth of the mesh, which then provides an elastic form of suspension for the uterine cervix or the vagina from the sacrospinous ligament. This allows the cervix to reassume its physiological, anatomical position.1,2

The surface area of material surrounding the vaginal wall is extremely small: just 3 cm2 of the isoelastic mesh implant has direct contact with the vagina. It is placed in such a way, that the mesh is not positioned under the vaginal incision, but in a more proximal direction.

Broad spectrum of indications

A considerable advantage of the BSC Mesh is that it is effective in many different situations, and 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

Medial sacrospinous fixation with the i-stitch – a proven technique

The i-Stitch instrument from A.M.I. is a tried and tested method for fixation of mesh implants, or for sacrospinous fixation (Amreich-Richter). The i-Stitch facilitates the attachment of sutures to structures that are difficult to reach without extensive dissection e.g. the medio-cranial aspect of the sacrospinous ligament.


BSC Mesh

With a vaginal dissection of just the width of the surgeon’s finger, minimal wound surface area and little foreign body, the BSC Mesh can successfully cure with pelvic organ prolapse in more than 90% of patients (in long-term follow-up with >5 years). Transvaginal mesh (BSC mesh) is very safe with very low rates of erosion (<1.2% in long term follow-up with >5 years).3

Order Code Product Technical Details


BSC Mesh PP 0

Mesh with non-absorbable i-stitch loading units for bilateral, apical suspension to correct
pelvic organ prolapse
1 x Mesh
2 x i-stitch loading unit PP 0

Mesh of ultralight weight polypropylene
Suture material: Polypropylene
Suture size: USP 0
1 box, all items delivered sterile
Product Brochure
Product Brochure Urogynaecology

1 Amid, P. K. (1997). Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia, 1(1), 15–21.

2 Ugianskiene, A., Davila, G. W., & Su, T. (2019). FIGO review of statements on use of synthetic mesh for pelvic organ prolapse and stress urinary incontinence.
International Journal of Gynecology & Obstetrics, 147(2), 147–155.

3 data on file