Placement of a retropubic drain with the tension-free vaginal tape operation

Intraoperative bleeding and postoperative hematomas are recognized complications of the tension-free vaginal tape (TVT) operation. We devised a connector to attach a drain to the end of the TVT needle. The drain is pulled upward with the tape itself and is left in the space of Retzius in the tract created by the needle. The drain connector provides a simple method to place a drain in the space of Retzius during the TVT operation.