Clinical Outcomes and Urodynamic Effects of Tailored Transvaginal Mesh Surgery for Pelvic Organ Prolapse

Figure 1

Components of the anterior transvaginal tailored mesh surgical procedure. (a) Separation of the bladder from the anterior vagina. White dotted circles indicate the area of the bladder base. (b) Use of the purse-string suture technique to reduce the cystocele size. The white dotted circles indicate the area of the reduced bladder base. (c) A drawing of the diamond body with its four arms and the polypropylene mesh (Gynemesh, 15 × 10 cm), which was trimmed according to the required shape. (d) Custom-tailored mesh with central diamond body and four arms. (e) Complete positioning of the body and arms of the mesh beneath the bladder, with the head of the diamond body underneath the bladder neck and proximal urethra without tension.

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