Cystocele

Laser Anterior Repair

Cystocele is descent/prolapse of the anterior vaginal wall dragging the bladder behind it. The pubocervical fascia of the bladder weakens and this causes the bladder descent. Repair is usually done by separating the epithelium and adventitia from the bladder. This is where the laser comes in. Usually there is an uneven separation compromising the repair. The HoYag laser does the job with minimal blood loss and tissue damage. The layers open out beautifully for 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.

Did You Know?
Overactive baldder (OAB) symptoms are more bothersome than SUI due to the unpredictable manner in which they occur. OAB affects quality of life more severely than diabetes.