| Tension
free Vaginal Tape Placement (TVT)
Stress Urinary Incontinence (SUI)
may cause significant deterioration in quality of life. TVT
is definitely one of the most effective operations to eliminate
SUI. TVT has the highest cost effectiveness and uppermost
risk benefit ratio compared to other surgical approaches for SUI.
A synthetic (prolene) mesh tape is placed under the bladder neck
(urethra). This tape functions as a "hammock" supporting
the urethra in times of stress, such as coughing, sneezing, laughing,
jumping, etc.
It is important to the successful outcome of the procedure that
the TVT sling will be placed "just right" and not "to
snug" or "to loose". Over tightening may cause urinary
retention and under tightening may produce continuous leakage. Properly
performed TVT results in an 86-95% success rate. Dr. Mordel
has performed over 500 TVT procedures.
TVT may be done under general, regional (spinal or epidural) or
local anesthesia.
TVT requires only three tiny incisions: one, half-inch vaginal
(under the urethral opening) and two, one-fifth inch pubic incisions.
TVT is an outpatient procedure that takes 20 to 30 minutes requiring
only few days of recovery to go back to light duty (office) work
and about two weeks for all other activities.
Learn more about Stress Urinary Incontinence. |