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. 

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.

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 providing 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.

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The Procedure

The Perigee™ procedure is an in-patient procedure typically performed under general anesthesia.Your doctor 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. (Your doctor's 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.

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What to Expect After the Procedure

Your doctor will likely require you to stay in the hospital overnight. Also, your doctor 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. Your doctor will advise you on how long you will need to wait. Your doctor should provide you with additional information on how to care for yourself after surgery, including any other limitations to activities.

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Results

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

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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 your doctor.

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