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EXHIBIT ID: OB_A_1033

Prolapsed Bladder (Cystocele) Surgical Repair with a Vaginal Sling (TOT sling)

Animation describing normal female pelvic anatomy compared to a patient with a prolapsed bladder and the repair of the prolapsed bladder with a vaginal sling. Incisions made on either side of groin. Sling is inserted with Monarc needle. The mesh is hooked to the needle and pulled back out of the groin incision. Cystoscope placed within the urethra to confirm no bladder injury. Ends are cut, plastic is pulled off and incisions are glued. Normal flow with sling in place.

ob/gyn gynecology female pelvic pelvis reproductive bladder uterus vagina prolapsed TOT vaginal sling procedure surgery surgeons view catheter vaginal wall mid-urethral level groin incision monarc needle cystoscope kelly clamp urine flow incontinence normal comparison rectum pelvic floor muscles pressure leakage lithotomy position urethra