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The tension-free vaginal tape procedure
Steven D Kleeman1, Mickey M Karram
1Division of Urogynecology, Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, OH, USA. Steven_Kleeman@trihealth.com
The Urologic Clinics of North America
|March 1, 2011
Summary
The tension-free vaginal tape (TVT) procedure uses a polypropylene sling for urethral support, offering an outpatient option under local anesthesia. This surgical technique aims to improve continence by supporting the midurethra.
Area of Science:
- Urology
- Gynecological Surgery
- Medical Device Technology
Background:
- Urinary incontinence is a common condition affecting many women.
- Traditional surgical methods for stress urinary incontinence have varying success rates and complication profiles.
- The tension-free vaginal tape (TVT) procedure was developed to offer a minimally invasive solution.
Purpose of the Study:
- To describe the tension-free vaginal tape (TVT) procedure.
- To explain the anatomical rationale for TVT placement at the midurethra.
- To highlight the advantages of TVT, including local anesthesia and outpatient settings.
Main Methods:
- Placement of a polypropylene mesh sling.
- Sling positioned at the midurethra to support pubourethral ligaments.
- Surgical approaches include transvaginal or suprapubic routes.
Main Results:
- The TVT procedure aims to restore natural urethral support.
- It is proposed to be effective for stress urinary incontinence.
- Potential for outpatient surgery under local anesthesia.
Conclusions:
- The tension-free vaginal tape (TVT) procedure offers a method for recreating urethral support.
- Its placement at the midurethra is a key feature.
- Advantages include potential for local anesthesia and outpatient management.
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