Laser Anterior Repair
Laser Anterior Repair with Mesh
The Holmium Yag laser can be combined with Mesh for repair of the Anterior vaginal wall. The fascial weaking can be repaired with sutures as in the above technique or needs bolstering when it is very weak. In fact there is a lot of data to say that mesh repair is better than no mesh in the case of the anterior vagina.
Laparoscopic Laser Paravaginal Repair
Cystoceles are believed to be caused by specific breaks in the pubocervical fascia. One such break could be in the lateral attachments to the whiteline. These are called paravaginal defects. These defects are better repaired Laparaoscopically. At the Laser Pelvic Surgery Institute, we use the Ho Yag laser for separating fascial planes and to define these breaks. The breaks are then sutured with a delayed absorbable suture.