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How I Do It: EnPlace sacrospinous ligament fixation
Bilal Chughtai1, Alia Codelia-Anjum1, Dean S Elterman2
1Department of Urology, Northwell Health, Manhasset, New York, USA.
The Canadian Journal of Urology
|October 27, 2024
Summary
Pelvic organ prolapse (POP) can be treated with the minimally invasive EnPlace system. This transvaginal device anchors sutures to sacrospinous ligaments for effective apical POP repair.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
Background:
- Pelvic organ prolapse (POP) is a prevalent condition affecting women's quality of life.
- Current treatments for POP range from non-surgical to surgical interventions, each with limitations.
Purpose of the Study:
- To introduce the EnPlace system, a minimally invasive device for apical POP repair.
- To review historical studies and the technique of transvaginal percutaneous sacrospinous ligament fixation using the EnPlace system.
Main Methods:
- The EnPlace system utilizes a transvaginal percutaneous approach.
- Sutures are bilaterally anchored to the sacrospinous ligaments for POP repair.
- The technique is applicable for hysteropexy or colposuspension.
Main Results:
- The EnPlace system offers a minimally invasive option for apical POP.
- The procedure involves sacrospinous ligament fixation via a transvaginal percutaneous route.
- This method facilitates hysteropexy or colposuspension.
Conclusions:
- The EnPlace system represents an advancement in minimally invasive POP treatment.
- Transvaginal percutaneous sacrospinous ligament fixation is a viable technique for apical POP repair.
- Further understanding of the EnPlace system and its application is beneficial for clinicians.

