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Cent European J Urol



Tissue Fixation System ligament repair cures major pelvic organ prolapse in ageing women with minimal complications – a 10-year Japanese experience in 960 women.


Inoue H, Nakamura R, Sekiguchi Y, Kohata Y, Fukuda T, Oonuma K, Uzawa Y, Watanabe R
Cent European J Urol. 2021; 74(4):552-562.
PMID: 35083076.


Japan's ageing crisis has brought major prolapse and incontinence problems. We hypothesized the problem was collagen leaching out of ligaments which support organs and could be corrected by the TFS (Tissue Fixation System) minisling which uses 7 mm wide tapes to create new collagen for ligament reinforcement.We analysed our 10-year experience (2009-2019) with TFS minisling prolapse repair with regard to one main question: "Is this technology of benefit to the ageing Japanese population?".