Transvaginal Tape (TVT)
Synonyms: Tension-free Transvaginal Tape, Transobturator Sling, Pubovaginal sling, Urethral Suspension, Marshall-Marchetti Krantz (MMK) Operation, Vesicourethral Suspension, Burch Procedure
What is Transvaginal Tape?
Transvaginal Tape is a minimally invasive procedure for women who suffer from stress urinary incontinence (involuntary leakage of urine when coughing, sneezing, laughing, jumping, walking, sitting, or standing). In Transvaginal Tape, the urinary bladder and urethra are repaired, strengthened and returned to it's original position in the pelvis.
Where can I get Transvaginal Tape?
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
What is Stress Urinary Incontinence?
Stress Urinary Incontinence or Stress Incontinence is a problem of the urinary bladder where the urethral sphincter weakens and as a result, cannot prevent the flow of urine through it when the intra-abdominal pressure rises such as in coughing, sneezing, lifting something heavy or even standing or walking. There are several causes of urethral sphincter weakness, most common being advancing age, multiple un-assisted child births, smoking, obesity and chronic coughing such as chronic bronchitis and asthma. Stress Urinary Incontinence is usually associated with Cystocele where the urinary bladder sags into or even outside the vagina
Who is an ideal candidate for Transvaginal Tape?
If you are a woman suffering from Stress Urinary Incontinence (due to any of the above reasons) and do not plan on getting pregnant any more, then you are an ideal candidate for Transvaginal Tape surgery.
What are the variants of Transvaginal Tape?
How do I prepare for Transvaginal Tape procedure?
Transvaginal Tape is performed on an out-patient basis therefore, prior hospitalization is not necessary. Ask your doctor about any special instructions to prepare for Transvaginal Tape. Since all medical procedure have a small risk of injury, e.g. injury to ureter or rectum, you will need to sign a consent form before the test. Do not hesitate to ask your doctor about any concerns you might have. You may be asked to give a urine sample before the test to check for infection. Inform your physician about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products). Refrain from taking aspirin or Ibuprofen at least 2 weeks before the Transvaginal Tape. Stop smoking a few weeks before the operation to prevent healing problems during recovery period. Do not eat or drink anything for at least 10 hours before the the Transvaginal Tape procedure. You will wear a hospital gown for the examination, and the lower part of your body will be covered with a sterile drape. In most cases, you will lie on your back with your knees raised and apart. The procedure will be performed under general anesthesia and you will be hospitalized for 3 - 4 days (for transabdominal approach) or 1 - 2 days (for transvaginal approach) for Transvaginal Tape. A nurse or technician will clean the area around your urethral and vaginal opening and apply a local anesthetic.
What does the procedure for Transvaginal Tape involve?
Transvaginal Tape is a minimally invasive procedure to treat Stress Urinary Incontinence in women. Transvaginal Tape procedure may take about 30 - 40 minutes and is usually performed under local anesthesia with sedation. A mesh tape is inserted through a small incision in the vagina and is positioned underneath the urethra. The Transvaginal Tape is then pulled up through two tiny incisions in the skin's surface just above the pubic area. As it passes through several pelvic tissue layers, the friction of underlying tissues holds the tape in place like velcro. Over time your body tissues will grow into the mesh and will permanently secure it. The surgeon will ask you to cough so that any necessary adjustments can be made right then and there. At the end of the procedure the Transvaginal Tape will be trimmed just under the skin's surface and the tiny incisions will be closed.
What to expect during the recovery period following Transvaginal Tape procedure?
After the Transvaginal Tape surgery, you will spend the next couple of hours under observation for any immediate post-operative complications like bleeding or urinary retention. You will be able to go home the same evening or the next day following Transvaginal Tape surgery. You will be able to return back to your daily activities within 2 - 5 days and recover completely within a 2 - 3 week period. During this time there should be very little interference with daily activities, although you will have to avoid heavy lifting, strenuous exercise and sexual intercourse for four to six weeks. You will recover completely within 2 - 3 weeks. During this time, avoid heavy lifting, strenuous exercise and sexual intercourse for 4 - 6 weeks.
What is the outcome of Transvaginal Tape?
Millions of women around the world suffer from Stress Urinary Continence and Transvaginal Tape is a popular procedure which is performed to treat this problem. The 5 year success rate of Transvaginal Tape is 85 - 90%. A small percentage of women need a revision procedure.
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Keywords: Stress Urinary Incontinence, Urethral Sphincter Weakeness, Cystocele, Urethrocele, Urethral / Ureteral Stricture, Urinary Incontinence, Urethral Sphincter, Rectocele, Suburethral Sling Procedures