DynaMesh®-CESA / -VASADynaMesh®-CERESA / -VARESA
For the surgical treatment of pelvic organ prolapse and urinary urge incontinence
Modified sacrocolpopexy with bilateral ligament augmentation of the uterosacral ligaments .
Maximal physiological vaginal mobility with minimal use of material.
Standardised surgical method: “The CESA/VASA system
The surgical method is a modified sacrocolpopexy procedure, in which the uterosacral ligaments (USL) are bilaterally reinforced or replaced by the implant.
Mobility of the reconstructed uterosacral ligaments is guaranteed. Concomitant urinary urge incontinence can be successfully treated using this procedure.
Depending on the nature of the operation to be performed and the patient’s anatomical defect, different versions of DynaMesh® implants are available:
Bilateral fixation of the cervical stump to the sacrum
ilateral fixation of the vaginal stump to the sacrum
In the case of concomitant faecal incontinence, the procedure can be combined with rectopexy.
The DynaMesh®-CERESA/VARESA implants are used for this purpose:
Bilateral fixation of the cervical stump to the sacrum and additional rectopexy in the case of concomitant faecal incontinence
Bilateral fixation of the vaginal stump to the sacrum and additional rectopexy in the case of concomitantfaecal incontinence
In the case of simultaneous defect of the pubourethral ligaments (PUL), the CESA/VASA system is applied .