Objectives of the lecture
- Make non-gynecology providers familiar with Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI)
- Discuss the use of Biologic Grafts in Prolapse Surgery
- Compare the different types of tissue process preparation
- How to place the graft
- Refer those patients to a specialist in that field
What Are POP and SUI?
- Define Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI)
- Highlight how common these conditions are (50% of women experience POP; 15 million women have SUI)
- Mention real-life symptoms: SUI (Stress Urinary Incontinence), Pelvic pressure, Problems having a bowel movement, Urinary Retention, Recurrent UTIs, Pain with intercourse, Vaginal bulge leading to infection and bleeding, Silent injury to the kidneys
Treatment Options
- Physical therapy, Emsella chair, Pessaries
- Traditional surgeries: Burch procedure, Kelly Plication
- Mesh (pulled off the market), Sling (still on the market)
- Limitations: mesh complications, high recurrence with native tissue repair
A Safer, More Natural Approach: Biologic Grafts
- Introduce biologic grafts (from human or animal tissue) as an alternative to mesh
- Benefits: better integration, fewer complications, improved outcomes
- Restore anatomy while preserving tissue integrity
Spotlight on DermaPure & VNEW Grafts
- Explain what DermaPure/VNEW is and why it’s different
- Developed with dCELL technology for better healing and less rejection
- Ideal for moderate to severe prolapse, poor tissue quality, or failed previous repairs
What Patients Should Know
- Who might benefit from graft-based repair
- What to expect during and after surgery
Conclusion
- Use of Mesh-free (biologic grafts) repair hoping to minimize prolapse recurrence
- Primary care providers to address this private matter and refer those patients to a specialist in that field who can give them the best care they deserve
