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Pain during the TVT procedure performed under local anesthesia
1University Hospital MAS, 205 02 Malmö, Sweden. hanna.schatz@skane.se
International Urogynecology Journal and Pelvic Floor Dysfunction
|November 18, 2003
Summary
Transvaginal tape (TVT) procedures for urinary stress incontinence under local anesthesia are well-tolerated, with most patients experiencing minimal pain and a high rate of same-day discharge. Complication rates were low, indicating the procedure
Area of Science:
- Urology
- Gynecology
- Surgical Procedures
Background:
- Urinary stress incontinence affects many women.
- Transvaginal tape (TVT) plasty is a common surgical treatment.
- Local anesthesia is increasingly used for surgical procedures.
Purpose of the Study:
- To assess patient pain perception during TVT procedures under local anesthesia.
- To evaluate the feasibility of same-day discharge for patients undergoing TVT.
- To determine the complication rate associated with TVT under local anesthesia.
Main Methods:
- Prospective descriptive study of 110 women undergoing TVT plasty for urinary stress incontinence.
- Pain assessment using a 100 mm Visual Analog Scale (VAS).
- Data collection on pain scores, same-day discharge eligibility, and complications.
Main Results:
- 88% of patients reported pain scores between 0-10 mm on the VAS (mean 5 mm).
- 71% of all patients and 85% of those over 70 were discharged on the same day.
- Low complication rates: 2% bladder perforations, 4% postoperative hematomas, 94% residual urine <100 ml within 24 hours.
Conclusions:
- TVT procedures under local anesthesia are well-tolerated and acceptable to patients.
- A significant majority of patients, particularly older ones without prolapse, can be discharged on the day of surgery.
- The procedure demonstrates a low complication rate, supporting its safety and efficiency.