The Apogee^TM procedure is an in-patient procedure and usually is performed under general anesthesia.

Your doctor will perform the surgery vaginally, meaning an incision will be made through your vagina rather than abdominally. Small incisions also are made in each buttock to pass a needle from the buttock to the vaginal canal.

In general, the Apogee procedure involves the following steps. (Your doctor's method may vary slightly from this one.)

1. An incision is made in the vaginal wall.
2. A needle is inserted in each buttock and passed to the opening in the vaginal wall.
3. The mesh is attached to the needles via the opening in the vaginal wall.
4. The needles are retracted and exit through the same entry points in the buttock.
5. Your surgeon may attach the mesh to the vault with minimal suture stitches.
6. The vaginal incision is closed.

What to Expect After the Procedure
Your doctor will require you to stay in the hospital overnight. Also, your doctor may insert a catheter through your urethra to drain urine from your bladder. You may be prescribed antibiotics to prevent infection and analgesics (pain medicine) for any post-operative discomfort.

During the healing period, for approximately four weeks, you should avoid sexual intercourse, heavy lifting and rigorous exercise. Your doctor will provide you with additional information on how to care for yourself after surgery, including any other limitations to activities.