TVT - Tension Vaginal Tape procedure

TVT procedure involves minimally invasive surgery for stress urinary incontinence treatment in women somehow alleviating symptoms effectively. Physical activity often triggers involuntary urine leakage during sudden movements like coughing, sneezing or strenuous workouts daily. TVT procedure entails positioning a synthetic mesh tape beneath the mid-urethra portion for support thereby preventing involuntary leakage.

• Preparation: The patient is positioned in a dorsal lithotomy position. Local anesthesia may be administered, and a catheter is placed to drain urine during the procedure.
• Incision: A small incision (approximately 1-2 cm) is made in the vaginal wall over the urethra. Two additional small incisions are made in the lower abdomen or inner thighs.
• Tape Placement: A special synthetic mesh tape is passed through the vaginal incision and positioned under the urethra. The ends of the tape are brought out through the abdominal or thigh incisions.
• Adjusting Tension: The surgeon adjusts the tension of the tape to provide adequate support for the urethra. If needed, the patient may be asked to cough to test the tape's effectiveness.
• Closure: The ends of the tape are cut level with the skin, and all incisions are closed with absorbable sutures.

Preoperative Considerations

• Assessment: Before surgery, patients undergo urodynamic testing to confirm SUI and evaluate bladder function.
• Medical History Review: A thorough review of medical history and previous treatments is conducted to identify any potential risks.
• Informed Consent: Patients receive detailed information about the procedure, including risks and benefits, allowing them to make an informed decision.

Postoperative Care

• Monitoring: Patients are observed for immediate complications such as bleeding or urinary retention.
• Pain Management: Mild discomfort can be managed with over-the-counter pain relievers as needed.
• Activity Restrictions: Patients are advised to avoid heavy lifting or strenuous activities for several weeks post-surgery.
• Follow-Up Appointments: Regular follow-up visits are scheduled to monitor recovery and assess treatment effectiveness.

Recovery After TVT - Tension Vaginal Tape procedure

Most patients can return home on the same day as the surgery. Full recovery typically takes about 4 to 6 weeks, during which patients may gradually resume normal activities. Many experience significant improvement in urinary control shortly after surgery, with long-term success rates being favorable.

Advantages of TVT Procedure

• Minimally Invasive: The TVT procedure involves smaller incisions, leading to less tissue damage and quicker recovery times compared to traditional surgical methods.
• High Success Rates: Studies show that approximately 85-90% of women experience substantial improvement or complete resolution of urinary incontinence after the procedure.
• Shorter Hospital Stay: Many patients are discharged on the same day as surgery due to its minimally invasive nature.
• Lower Risk of Complications: The procedure has a low incidence of major complications, making it a safer option for treating SUI.
• Improved Quality of Life: Successful treatment significantly enhances patients' quality of life by reducing or eliminating urinary leakage during physical activities.