A New, Mesh-Free Way to Repair Pelvic Organ Prolapse
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A New, Mesh-Free Way to Repair Pelvic Organ Prolapse

Abigail Klein Leichman — Israel21c.org
Jan 26, 2018

“I’m quite sure we will change the field completely.” – Dr. Menahem Neuman

(Israel) — [ISRAEL21c.org] Amid mounting calls across the world to ban the controversial use of transvaginal mesh to treat pelvic organ prolapse (POP), Israeli company POP Medical Solutions is introducing NeuGuide, an FDA-cleared minimally invasive repair system uniquely requiring neither dissection nor mesh. Image by Yeexin Richelle/Shutterstock.com

POP is a common but painful and debilitating condition in which pelvic organs (uterus, vagina, bladder or rectum) sag or drop. Up to half of all women experience POP in their lifetime – especially as they age – making this a $1 billion market. The incidence of POP is expected to rise with increasing life expectancy and obesity.

Traditionally, mesh surgery or even hysterectomy was advised for pelvic organ prolapse. Both are no longer considered ideal, while laparoscopic and robotic surgeries are lengthy and costly.

“I’ve spent the last 25 years treating patients with uterine prolapse,” POP Medical founder Dr. Menahem Neuman tells ISRAEL21c. “We don’t want to take out the uterus anymore, because it’s a mistake to take out a healthy uterus. And we don’t want to use meshes because of many complications. So we looked for a safe, simple, durable solution.”

He and engineer Boaz Harari co-founded the company to develop their invention, which elevates the uterus back to its normal position within minutes. (POP Medical’s NeuGuide surgical system. Photo: courtesy)

“I’m quite sure we will change the field completely,” says Neuman, who specializes exclusively in pelvic-floor reconstructive surgery.

The patented NeuGuide device is composed of an anchor unit and a delivery system that fits on the surgeon’s finger to guide, insert and deploy the anchor.

The anchor is made of Nitinol, a metal alloy with elastic properties that is also used to make Ballerine, a revolutionary Israeli-invented spherical IUD from OCON Medical.

“Our anchor is proven to be significantly stronger than any other anchor in the market,” POP Medical CEO Deborah Garner tells ISRAEL21c.

The anchor is introduced through the vaginal wall and secured to the cervix to provide pelvic-floor stabilization.

“We believe the cervix is stronger tissue than the vaginal wall and it’s not exposed to the possibility of infection,” Garner explains.

The procedure is completed in less than 20 minutes, and patients can leave the hospital within a few hours.

Tested on patients

NeuGuide was tested successfully on 15 women at Wolfson Medical Center in Holon, Israel. Two years later, 14 of the trial participants still are doing fine. The one patient who relapsed after a year did not have sufficient cervical tissue to hold the anchor in place – a condition that can occur following hysterectomy. Garner says future trials will exclude such patients to prove the efficacy of the device first in patients who still have a uterus.

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