ELEVEST^® Procedure for Correcting a Prolapsed Uterus

The ELEVEST procedure is used to treat a prolapsed uterus. Specialized surgical instruments are used to strengthen the ligaments that support the uterus. The procedure is performed through small openings in the abdomen using minimally invasive laparoscopic surgery.

A prolapsed uterus is a specific type of pelvic organ prolapse. It is a common condition and occurs when the uterus drops from its normal position in the pelvic cavity and descends toward or into the vagina. Uterine prolapse can occur alone, but it typically occurs with other types of pelvic floor problems. These problems can cause feelings of vaginal heaviness or that something is falling. Urinary incontinence, difficulty with bowel movements and pain during intercourse are other symptoms of uterine prolapse.

Risk factors for uterine prolapse include:

• Pregnancy
• Aging
• Obesity
• Chronic lung disease
• Heavy lifting
• Weakness of the tissues supporting the pelvic floor.

Typically, hysterectomy has been used to treat women with significant symptoms resulting from a prolapsed uterus. However, the ELEVEST procedure gives women an alternative. Following the ELEVEST procedure, normal pregnancy and vaginal delivery are still possible.

With the ELEVEST procedure, both the round and uterosacral ligaments are shortened and strengthened to restore the uterus to its normal position. The procedure maintains the normal alignment of the pelvic organs and should not affect sexual function.

Because several pelvic organs may be prolapsed at the same time, you may require additional procedures at the time of the ELEVEST procedure to correct all of the defects.

Preliminary data on a small study group shows good support is maintained, in up to 2 year follow up. Long-term results beyond 2 years are not known. Your uterine prolapse may return or you may experience a different type of pelvic organ prolapse in the future. These conditions may require a hysterectomy or a different surgical procedure to correct.