Clinical study of a new generation partially absorbable synthetic implant (ligature delivery system) for the correction of apical pelvic organs prolapse

Introduction. Pelvic organ prolapse (POP) is a common condition that significantly impairs women's quality of life. Despite the effectiveness of synthetic implants, their use is limited due to the high risk of complications. In recent years, partially absorbable suture delivery systems have been actively developed to reduce implant-associated complications. Objective. To evaluate the clinical efficacy and safety of unilateral hybrid pelvic floor reconstruction using a partially absorbable suture delivery system. Materials and Methods. The study included 30 patients with stage 2–4 apical POP (POP-Q classification). Unilateral hybrid pelvic floor reconstruction was performed using the suture delivery system. Anatomical efficacy was assessed using the POP-Q system 12 months postoperatively. Additional assessments included quality of life (PFDI-20, ICIQ-SF) and patient satisfaction (IMPSS, PGI-I). MRI of the pelvic organs with intravenous contrast was performed in two patients. Results. At 12 months, anatomical efficacy was achieved in 96.7% of patients (p<0.001). No cases of implant erosion or chronic pelvic pain were detected. Significant improvement in quality of life was observed across all PFDI-20 subscales (p<0.001). VAS scores remained statistically unchanged. Patient satisfaction levels were high. MRI data showed the formation of a band with distinct, uniform contrast agent accumulation in the late venous phase, characteristic of scar tissue. Conclusion. Unilateral hybrid pelvic floor reconstruction using a partially absorbable suture delivery system is a safe and effective method for POP correction, significantly improving patients' quality of life.