Multi-leveled transgluteal tension-free levatorplasty for treatment of rectocele

Abstract

Improved methods for treatment of pelvic organ prolapse are provided. Mesh implants are placed in the appropriate locations to effect multi-level support. The method is accomplished via a transgluteal approach.

1 . (canceled) 
     
     
         2 . A surgical kit for treatment of pelvic conditions, said kit comprising:
 an implant useful to perform a level  1  repair, the implant comprising a central support portion and two end portions extending therefrom;   an implant useful to perform a level  2  repair, the implant comprising a central support portion and four end portions extending therefrom; and   needles for placement of the implants.   
     
     
         3 . The kit of  claim 2  wherein the implant useful to perform a level  2  repair comprises a central support portion comprising first, second, third and fourth sides, with two of the four end portions extending from the first side and two of the four end portions extending from the third side.