A New Surgery for Uterine and Bladder Prolapse


Endofast, the herniation of vagina as a result of being pushed out by the surrounding tissue and organs is called genital organ prolapse. The anterior wall of the vagina is adjacent to the bladder, and its vault is adjacent to the uterus, and the posterior wall is adjacent to the last portion of the large intestine. The bladder, uterus and the last portion of the large intestine may respectively prolapse out of the vagina. In general, the prolapse of one side also pulls the other side, causes that area to prolapse.

Uterine and Bladder Prolapse 

Conventional treatments of genital prolapse are to suspend the prolapsed part to the patient’s own tissues by vaginal route or to fix the vaginal vault to the bone at the back, called the sacrum, from the abdomen using a mesh.

In recent years, meshes in the form of net applied vaginally are placed under the bladder and also fixed to the uterus and fixed to the ligaments behind the pelvis. The success rates of these surgeries are above 90%. It is especially performed on patients who have recurrence or weakened tissue, do heavy work, and have severe prolapse.

One of these mesh surgeries is Endofast. The endofast kit contains a ready-to-use mesh and spider-like anchors to fix the mesh to the pelvic ligaments. The advantages of this surgery are as follows: it is performed vaginally, no suture is made outside, it is performed in a short time (40-50 minutes), bleeding is minimal, the success rate is