A New Transvaginal Operative Technique for Uterine Prolapse and Vaginal Laxity Using a Novel Silicone Implant

The prevalence of pelvic organ prolapse (POP) is expected to rise as the population ages, leading to an increased demand for surgical interventions. Although surgery is required to treat POP, there is currently no method that can effectively treat the condition with a low risk of recurrence. The purpose of this video is to demonstrate the technique of transvaginal insertion of a band-shaped silicone implant into the vaginal mucosa to repair advanced uterine prolapse and vaginal laxity. A 67-year-old woman presented with complaints of urinary incontinence and uterine prolapse and was classified as POP-Q stage 4. We utilized a live surgical demonstration to illustrate the technique of transvaginal surgery involving the insertion of a medical silicone band, referred to as the Dreamcore, into the vaginal wall. This video demonstrates the procedure of transvaginal insertion of the band-shaped silicone implant (Dreamcore) into the vaginal mucosa to repair uterine prolapse and vaginal laxity. Following surgery, the patient's POP-Q stage improved from 4 to 0. Vaginal volume decreased within 6 weeks post-surgery and remained stable for 1 year after the procedure. This case report suggests that the novel procedure of implanting the Dreamcore into the vaginal wall may be a promising treatment option for advanced stages of POP and vaginal laxity, pending further studies to confirm its safety and effectiveness.