| With bilateral paralysis, bilateral plication improves the efficiency of the rib cage muscles in generating tidal volume. |
| Kelly plication stitches are then placed periurethrally and tied in the midline. |
| This repair may be bolstered with absorbable mesh to reduce the cystocele during plication and further strengthen the fascial reapproximation. |
| Recently, we have begun to perform arthroscopic capsular plication in patients with significant capsule redundancy and laxity. |
| From there, plication was continued toward the mid-axillary line, resulting in a large part of the plicated tissue being located in the central tendon. |
| The fascial plication effectively relocates the cystocele behind the reconstituted pelvic floor. |
