Levator for repair of perineal prolapse

Abstract

Improved methods and apparatuses for treatment of pelvic organ prolapse are provided. A specialized mesh having a shape for effective placement via the ischlorectal fossa is provided, as is a method of use of such a device.

1 - 3 . (canceled) 
     
     
         4 . A surgical kit for the treatment of descending perineum syndrome, said kit comprising:
 an implant comprising a center support portion and two arms, the center support portion comprising a trapezoid having
 a long side and a short side, the long side and the short side being substantially parallel, and 
 lateral sides extending between the long side and the short side, 
 each arm extending from a location between the long side and the lateral side, and a corner located between the short side and the lateral side; 
   wherein the center support portion is sized to contact iliococcygeus muscle via ischiorectal fossa on opposing sides of a patient, while each arm can be connected to an obturator internus muscle adjacent to a pubic ramus, and each corner can be connected to a sacrospinous ligament adjacent to an ischial spine, and   an introducer that can be used to place the implant through an incision between the anus and the tip of the coccyx for placement of the implant at a location lateral to levator ani muscle on opposing sides of a patient, via ischiorectal fossa.   
     
     
         5 . The kit of  claim 4  wherein the introducer can be used to place the implant through an incision between the anus and the tip of the coccyx, lateral and adjacent to iliococcygeus muscle on opposing sides of a patient, via ischiorectal fossa. 
     
     
         6 . The kit of  claim 4  wherein the arms are substantially aligned with the lateral sides. 
     
     
         7 . The kit of  claim 4 , wherein each arm comprises a dilating connector on an end opposite the long side and the lateral side. 
     
     
         8 . The implant of  claim 4  wherein the arms are substantially aligned with the lateral sides. 
     
     
         9 . The kit of  claim 4  wherein a ratio between a length of the long side and a length of the short side is about 5:2. 
     
     
         10 . The kit of  claim 4  wherein the long side of the center support portion has a length of about 5 cm. 
     
     
         11 . The kit of  claim 4  wherein the short side of the center support portion has a length of about 2 cm. 
     
     
         12 . The kit of  claim 4  wherein the lateral sides of the center support portion have a length of about 8 cm.