• InGYNious A
  • Transvaginal single-incision

Single-incision vaginal mesh procedure


InGYNious offers a 3-level support in the gentlest possible way. It is a six-point fixation mesh which allows effective repair of various pelvic floor defects through a single vaginal incision to enable a total pelvic floor reconstruction.


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


  • 6-point suture fixation = 3-Level support for effective repair of various pelvic floor defects
  • Level 1: Apical support which is created by a suspension suture connecting the apex of the mesh with the sacrospinous ligament (anterior and posterior)
  • Level 2: Lateral attachments placed on each side in the arcus tendineus fascia pelvis (anterior) or iliococcygeus muscle (posterior)
  • Level 3: Attachment to arcus tendineus fascia pelvis retropubic (anterior) or perineal body (posterior)
  • Suture navigators indicate correct positioning of the sutures
  • Treatment of anterior, posterior and apical compartments possible

Benefits 1,2,3,4,5

  • InGYNious can successfully cure pelvic organ prolapse in more than 90% of patients (in 36 months  follow-up)
  • InGYNious has low rates of erosion (<2% in 36 months follow-up)
  • InGYNious significantly improves quality of life (in a 36 months follow-up)

Clinical Data

  • Objective success rate: 91.0 – 93.9% 1,2,3
  • Patient satisfaction up to 100% 5
  • Erosions between 0 – 2.0% 1,3,5,6

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


  • i-Stich
  • i-Stitch up
  • i-Stitch loading unit
  • InGYNious Bar
Accessories InGYNious

Order information

Surgery video – InGYNious Anterior

Surgery video – InGYNious Posterior

i-Stitch Animation


1 Mistrangelo et al. (2014)
InGYNious single-incision advanced pelvic floor repair with hexapro-mesh

2 Brandt et al. (2019)
1-Year Outcome After Treatment of Uterovaginal Prolapse With a 6-Point Fixation Mesh

3 Kuszka et al. (2020)
3 Year outcome after treatment of uterovaginal prolapse with a 6-point fixation mesh

4 Deltetto et al. (2021)
Effectiveness and Safety of Posterior Vaginal Repair with Single-Incision, Ultralightweight, Monofilament Propylene Mesh: First Evidence from a Case Series with Short-Term Results

5 Mangano et al. (2021)
More than a sacrospinous ligament fixation for prosthetic treatment of utero-vaginal prolapse: a six-point fixation mesh

6 Deltetto et al. (2021)
Efficacy and safety of an ultralight, six-point, polypropylene vaginal mesh in the treatment of urogenital prolapse