Get answers to your Urinary Incontinence / Urogynecology questions.
TVT; Urethral suspension
Placement of tension-free vaginal tape is a procedure to help control stress incontinence, urine leakage that can happen when you laugh, cough, sneeze, lift things, or exercise. The procedure helps close your urethra (the tube that carries urine from the bladder to the outside) and the bladder neck (the part of the bladder that connects to the urethra).
You will have either general anesthesia or spinal anesthesia before the vaginal tape is put in place.
A catheter (tube) will be placed in your bladder to drain urine from your bladder.
A small surgical cut is made in your vagina, just below the opening that urine passes through. Two small cuts (a little more than 1/2 inch) are made in your belly just above your pubic hair line or in your groin.
A special man-made (synthetic) tape is passed through one of the cuts in your belly or groin. It is passed under your urethra, and then back up through the other cut in your belly or groin.
The doctor then adjusts the tension (tightness) of the tape so you will not leak. If you do not receive general anesthesia, you may be asked to cough.
The surgery will take about 2 hours.
Tension-free vaginal tape is placed to treat stress incontinence.
Most of the time, your doctor will have you try drugs and bladder retraining before talking about surgery with you.
Dmochowski R, Scarpero H, Starkman J. Tension free vaginal tape procedures. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders; 2007:chap 68.
Dmochowski RR, Blaivas JM, Gormley EA, et al. Female Stress Urinary Incontinence Update Panel of the American Urological Association Education and Research, Inc, Whetter LE. Update of the AUA guideline on the surgical management of female stress urinary incontinence. J Urol. 2010;183:1906-1914.
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