Method and apparatus for cystocele repair

A method for cystocele repair comprising the steps of:

• (a) establishing four pathways in tissue around a bladder of a patient;
• (b) atraumatically dilating said pathways;
• (c) introducing a strap into each of said pathways while said pathways are atraumatically dilated;
• and
• (d) positioning beneath said bladder of said patient a support member having each said strap connected thereto such that said bladder of said patient is supported by said support member and a bulge of said bladder into a vagina of said patient is reduced;
• wherein the step of establishing four pathways in tissue around a bladder of a patient comprises the steps of:
• (a-1) making an incision in said vagina of said patient;
• (a-2) making an incision on a left side of said patient where a left adductor longus tendon of said patient inserts into a left portion of a pubic ramus bone of said patient, lateral to an edge of said pubic ramus bone;
• (a-3) making an incision on a right side of said patient where a right adductor longus tendon of said patient inserts into a right portion of said pubic ramus bone of said patient, lateral to said edge of said pubic ramus bone;
• (a-4) making an incision on said left side of said patient where a left inferior edge of said pubic ramus bone of said patient ends at a bottom of a left obturator foramen of said patient;
• and (a-5) making an incision on said right side of said patient where a right inferior edge of said pubic ramus bone of said patient ends at a bottom of a right obturator foramen of said patient.

An apparatus for repairing cystocele comprising:

• a support member knitted with a first bar setting;
• a plurality of straps continuously knitted with said support member, said plurality of straps knitted with a second bar setting;
• and
• where at least one of said straps comprises a connector configured to mate with an end of a needle.

A kit for repairing cystocele comprising:

• a support apparatus comprising at least two straps, each of said straps comprising a connector configured to mate with a tip of a needle;
• a first needle configured to extend from an incision on a right side of a patient where a right adductor longus tendon of said patient inserts into a right portion of a pubic ramus bone of said patient, lateral to an edge of said pubic ramus bone, through a right obturator foramen of said patient, to an incision in a vagina of said patient;
• a second needle configured to extend from an incision on a left side of said patient where a left adductor longus tendon of said patient inserts into a left portion of said pubic ramus bone of said patient, lateral to an edge of said pubic ramus bone, through a left obturator foramen of said patient, to said incision in said vagina of said patient;
• a third needle configured to extend from an incision on said right side of said patient where a right inferior edge of said pubic ramus bone of said patient ends at a bottom of said right obturator foramen of said patient, through said right obturator foramen of said patient, to said incision in said vagina of said patient;
• and
• a fourth needle configured to extend from an incision on said left side of said patient where a left inferior edge of said pubic ramus bone of said patient ends at a bottom of said left obturator foramen of said patient, through said left obturator foramen of said patient, to said incision in said vagina of said patient.