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What Is TVT / TVT-O Continence Surgery?

TVT stands for Tension-free Vaginal Tape which is made of prolene. It has become the new "gold standard" operation for treating women with stress urinary incontinence. The result at 5 years is 85% cure, 10% improved and 5% failure.

What Are The Advantages Of TVT / TVT-O Continence Surgery?

Both the TVT & TVT-O continence surgery takes between 15 to 30 minutes to perform. It can be done under regional or general anaesthesia. It can be done as a day surgery so that you may go home on the same day. The post-operative pain and the risks of surgery are less as compared to Burch Colposuspension - another well-established continence surgery. As with any continence surgery, it is advisable for a patient who has not completed her family to do so before having the TVT/TVT-O surgery so as to reduce the risk of failure.

What Are The Risks Associated With TVT / TVT-O Continence Surgery?

The TVT / TVT-O continence surgery is generally a safe procedure. However, like all surgeries, complications may occur occasionally. These include:

Risk of anaesthesia
Bleeding
Infection
Injury to surrounding tissues (e.g. bladder, rectum and blood vessels)
Formation of blood clot in the legs or lungs
Rejection of tape - As the tape is a synthetic tape which will be left permanently in the body, rejection may occur.

Watch for The Following After Discharge From Hospital

You should return immediately to your doctor if you have:

Severe vaginal bleeding
Severe abdominal distension or pain
Foul smelling discharge from the wound
High fever
Pain when passing urine
Difficulty in passing urine or motion
Pain or swelling of the calves

Follow-Up Visits

After the surgery, you will be seen at 1 week, 1 month, 6 months and yearly intervals thereafter. Urodynamic studies will be repeated at 6 months after surgery to confirm cure and to exclude other bladder disorders.