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ProGYNious

Lightweight mesh body and strong mesh neck

Laparosopic mesh procedure

Indication: Surgical treatment (laparotomy or laparoscopic approach) of pelvic floor prolapse.

Treatment of Pelvic Organ Prolapse

Pre-shaped mesh prosthesis for sacrocolpopexy.

  • For anatomic reconstruction of female pelvic floor prolapse.
  • Made of two types of polypropylene mesh material
    • Mesh body: Ultralight, monofilament, polypropylene mesh with hexagonal structure to reduce foreign body tissue reaction and allow good integration into human tissue. Hexagonal structure maintains vaginal elasticity and function.
    • Mesh neck: Made of firmer, denser mesh material for a strong fixation at level of sacral promontory.

Features

  • Implantation via laparoscopic or transabdominal (open surgery) approach.
  • Implant is a combination of ultralight, large pore, soft, iso-elastic mesh at the vaginal level and a denser, less elastic mesh for firm suspension.

Benefits

  • Can successfully cure patients with pelvic organ prolapse.
  • Low rates of erosion in a 3-month follow-up period (< 3%)
  • Low rates of severe postoperative pain in a 3-month follow-up period (< 3%)
  • Very low rate of intra-operative complications (<0.5%)

[1] Christmann-Schmid et al. (2018)
Laparoscopic sacrocolpopexy with or without midurethral sling insertion:

Is a two-step approach justified? A prospective study.

Functioning principles of ProGYNious

Sacrocolpopexy and Sacrocervicopexy

  • Anterior mesh is placed between vagina and bladder to prevent from recurrent cystocele
  • Posterior mesh is placed between vagina and rectum to prevent from recurrent rectocele
  • ProGYNious has an apical component for level 1 suspension to prevent vaginal prolapse
  • The lightweight hexagonal-shaped wide-pore structured mesh material is used for the mesh body, providing good tissue integration and reduction of foreign body reaction.
  • The neck of the implant is made of firmer, denser mesh material for a stable fixation to the longitudinal ligament at the sacral promontory level.

Hexagonal structure – The A.M.I. HexaPro mesh

  • Hexagonal mesh structure for isoelasticity to maintain vaginal elasticity and function
  • 93 % porosity for rapid anatomical integration and to reduce foreign body tissue reaction
  • Decrease of chronic pain
  • Less rigid scar tissue, shrinkage and chronic inflammatory reactions
  • Stability in shape

[1] Brandt et al. (2019)

1-Year Outcome After Treatment of Uterovaginal Prolapse With a 6-Point Fixation Mesh.

[2] Kuszka et al. (2020)

3 Year outcome after treatment of uterovaginal prolapse with a 6-point fixation mesh.

[3] Deltetto et al. (2021)

Effectiveness and Safety of Posterior Vaginal Repair with Single-Incision, Ultralightweight, Monofilament Propylene Mesh: First Evidence from a Case Series with Short-Term Results.

[4] Mangano et al. (2021)

More than a sacrospinous ligament fixation for prosthetic treatment of utero-vaginal prolapse: a six-point fixation mesh.

[5] Deltetto et al. (2021)

Efficacy and safety of an ultralight, six-point, polypropylene vaginal mesh in the treatment of urogenital prolapse.

[6] Data on file

The A.M.I. mesh in detail

  • Made of ultralight weight material: 21 g/m2
  • Wide pore structure ≥ 1,9 mm
  • Macroporous
  • Extra-large interstitial micropores: 100 – 150 μm
  • Monofilament polypropylene

Related products

EndoGYNious
Urogynecology, Pelvic Organ Prolapse
PelviGYNious
Urogynecology, Pelvic Organ Prolapse

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A.M.I. GmbH
Im Letten 1
6800 Feldkirch

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vigilance@ami.at

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