Perigee Prolapse Repair System

Overview

"I'm so happy I had the Perigee System placed. I have control of my body again."*

Perigee™ Prolapse Repair System

Perigee™ is an innovative treatment for bladder prolapse (cystocele) repair that is changing the way doctors perform surgery for this condition. Cystocele occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop into the vagina.

Perigee™ is a less invasive surgical procedure that allows a surgeon to position a supportive mesh (a graft) that is designed to provide support where the bladder herniates into the vaginal wall.

Benefits

The Perigee System offers many benefits:

Minimally invasive surgical technique
Designed to restore your normal vaginal anatomy
Customizable system components allow the doctor to make choices about the mesh material that will work best for you
Four-point mesh design is intended to provide strong support of the bladder
Innovative surgical tools help ensure smooth passage of mesh material through tissue with minimal disruption

*These comments are based on the types of experiences relayed in monitored chat rooms where patients have shared their experiences. They are not reflective of individual patients, and may not be typical for all users.

How it Works

Bladder prolapse occurs when the wall between the bladder and the vagina weakens, causing the bladder to drop or sag into the vagina. This hernia-like disorder is called a cystocele.

Using the Perigee™ needles, a four-point biologic or synthetic mesh is placed between your bladder and vagina. The mesh rests tension-free in your body's tissues. It is designed to allow your own tissue to grow into it, thereby provding a support structure between your bladder and vagina.

The use of surgical mesh for reinforcement is not new. It has been used extensively in surgery, especially in hernia repairs. The mesh is designed to conform to your anatomy and has many holes within it designed to allow your body tissue to grow into it to provide a framework of support.

The Procedure

The Perigee™ procedure is an in-patient procedure typically performed under general anesthesia.

Dr. Huertas will perform the surgery vaginally, meaning an incision will be made through your vagina rather than in your abdomen. Small needles are passed through the tissue on either side of your labia to the incision in your vagina.

In general, the Perigee™ procedure involves the following steps. (Dr. Huertas' method may vary slightly from this one.)

An incision is made in the anterior vaginal wall.
Tissue between the vagina and bladder is separated.
Two needles are passed on either side of your labia and transport the mesh to the desired location.
The mesh is secured under the bladder.
The incision is closed.

What to Expect After the Procedure

Dr. Huertas will likely require you to stay in the hospital overnight. Also, Dr. Huertas may insert a catheter through your urethra to drain urine from your bladder. You may be prescribed antibiotics to prevent infection and analgesics (pain medicine) for any post-operative discomfort.

During the healing period, you should avoid sexual intercourse, heavy lifting and rigorous exercise. Dr. Huertas will advise you on how long you will need to wait. Dr. Huertas will also provide you with additional information on how to care for yourself after surgery, including any other limitations to activities.

Results

A recent pilot study demonstrated that at nine months the transobturator system provides a safe and effective means fo restoring anterior vaginal wall support.

Is it Right for You?

Perigee™ is an ideal solution for many patients with bladder prolapse.

The procedure is not recommended for:

Pregnant patients
Individuals who have areas of active or latent infection or who show signs of tissue necrosis (tissue that is dead due to injury or disease)
Individuals with any disorder that would create an unacceptable risk of post-operative complications

The best way to determine if Perigee™ is right for you is to talk to Dr. Huertas.

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If you would like more information about the Vaginal Vault Prolapse Repair System procedure or any of the other services offered by Dr. Huertas, please contact his office at 972-279-9000 and his capable staff will guide you through the process. Even better, for more personalized information specific to your individual needs, contact us or call today to schedule a consultation.

The Dallas Center for Laser Vaginal Rejuvenation
Otoniel Huertas, MD
2540 N Galloway Ave.
Bldg 3, Suite 304
Mesquite, TX 75150
972-279-9000
Contact us or call to schedule your personal consultation.