TVT for incontinence
Urinary incontinence is the involuntary loss of urine, or more simply, leaking urine when you don't mean to. It can cause a woman to give up or avoid social situations and activities she enjoys if she finds that they result in uncontrolled urine loss. The TVT procedure is an outpatient procedure that our office has been performing for 10 years with outstanding results.
The TVT tension-free support for incontinence primarily consists of a mesh-like tape that is surgically inserted through the vagina to support the bladder neck and urethra, the tube through which urine exits the bladder. Ordinarily, the urethra maintains a tight seal to prevent involuntary loss of urine. For women with stress urinary incontinence, a weakened pelvic muscle floor or a defect in the urethral fascia cannot support the urethra in its correct position. If you undergo TVT surgery, our physicians will restore the normal position of the urethra by weaving or placing a "sling" or mesh tape beneath it. Uniquely, TVT provides support at the middle of the urethra, the section that is under the most strain during normal activities. Placing the TVT in this area, therefore, helps restore this part of the urethra---instrumental to the urination process-- to a more natural position. Unlike other procedures, no bone anchors or sutures are necessary.
Remember that most cases of incontinence can be improved, so see your doctor to "lose the leak."
GYNECARE TVT™ Retropubic System gives you the "Gold Standard" in retropubic slings
- 11.5 years of proven efficacy and safety(1), used in over 1.0 million patients worldwide(2)
- Needle curvature and tip radius designed to hug the posterior aspect of the pubic bone during passage
- Proven mesh with the largest pore size, 350% greater elasticity and the lowest initial stiffness among the leading brands of mesh(3,4)
- Nilsson C G, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J. 2008;19:1043-1047.
- Data on File. Ethicon, Inc.
- Dietz H, Vancaillie P, Svehla M, Walsh W, Steensma A, Vancaillie T. Mechanical Properties of Urogynecologic Implant Materials. Int Urogynecol J. 2003;14:239–243.
- Moalli P, Papas N, Menefee S, et al. Tensile properties of five commonly used mid-urethral slings relative to the TVT. Int Urogynecol J.2008;19:665-663