China Market Report for Pelvic Organ Prolapse Repair

China Market Report for Pelvic Organ Prolapse Repair

  • May 2017 •
  • 224 pages •
  • Report ID: 4895074 •
  • Format: PDF

In the pelvis, the pelvic floor holds the vagina, bladder and uterus in place.

The pelvic floor is made of ligaments that stretch across the inside of the pelvis. In a normal situation, the uterus, bladder and the upper part of the urethra lie above the pelvic floor. The vagina, rectum and the lower part of the urethra all pass through the pelvic floor to the outside. The vagina passes through the center of the pelvic floor, with the urethra to the front of it and the rectum behind.

General Report Contents
• Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
• Market Drivers & Limiters for each chapter segment
• Competitive Analysis for each chapter segment
• Section on recent mergers & acquisitions

Situations like childbirth, chronic cough, obesity or hormonal changes can cause the organs held in place by the pelvic floor to drop; this condition is also known as prolapse. Different types of prolapse exist: cystocele, a prolapse of the bladder into the front wall of the vagina; hysterocele, a prolapse of the uterus into the back, front or top of the vagina; rectocele, a prolapse of the rectum into the back wall of the vagina; urethrocele, a prolapse of the urethra into the lower front wall of the vagina; and enterocele, a prolapse that contains loops of bowel.

Symptoms experienced usually range from a pressure sensation to pain. Some patients do not experience anything. If there is mild prolapse, pelvic floor electrical stimulation or a pressarium can be used. When the situation is worse, surgery is necessary to reverse the prolapse. During the surgery, the prolapsed organs are moved to their original position and the ligaments are tightened. To provide additional vaginal support, a mesh can be implanted. Alternatively, a native tissue repair can also be used to provide the additional support required. In severe cases of prolapse, some of the organs need to be removed.

When a mesh is used, there are two main types: transvaginal mesh and sacrocolpopexy mesh. A transvaginal or intra-vaginal mesh is inserted to support the organs in the pelvis during a pelvic floor repair procedure. A pelvic floor repair procedure treats pelvic organ prolapse of the vagina or the uterus using a vaginal approach. An alternative to pelvic floor repair is sacrocolpopexy, which is another surgical method to repair pelvic organ prolapse. With sacrocolpopexy, incisions are made in through the abdomen and mesh is used to lift apical portion of the vaginal vault in order to suspend the vagina.

This method may be performed laparoscopically, robotically assisted or openly through the abdomen. While pelvic floor repair is reported to have shorter recovery times than the abdominal method of surgical treatment, pelvic floor repair has had more reported adverse effects. Both of these procedures may be performed concomitantly with a hysterectomy or surgery for stress urinary incontinence.