Restoration of damaged structures
Urge incontinence occurs because of descensus of the pelvic organs – usually by a general connective tissue. This means that the holding bands in the pelvis, involving uterus, vagina, bladder and intestine, lose their elasticity and also their holding function. The bands are severely impacted, especially during pregnancy and often lead to typical pain. Depending on the degree of exposure, the bands may remain stretched after birth or even tear. Also increasing age ( menopause) leads to a weakening of the connective tissue and pelvic floor muscles and the holding bands lose their holding function. A descensus of the pelvic organs is the consequence and this leads to urge incontinence.
For a better understanding the anatomical structures are represented as a bridge.
The following illustrations show strongly simplified examples for typical situations:
The aim of the CESA / VASA surgical method is to bring back the organs in their previous, i.e. the correct position, to restore the function again.
Since it is not possible to tighten the own holding bands, these have to be renewed. For this purpose, plastic (PVDF) holding bands, so-called textile implants are used, similar to the form used since many years for surgical hernia repair and others. They are sutured exactly at the point where the bands originally were placed and thus provide a full replacement.