Urethral Suspension -- Tension-Free Vaginal Tape Procedure
(Mid-urethral Sling; Urinary Incontinence Surgery—Tape Procedures; Tension-free Vaginal Tape (TVT) procedure; Transobturator Tape (TOT) Procedure)
|Female Bladder and Urethra|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Reactions to anesthesia
- Inability to urinate
- Continued incontinence or recurrence of the problem
- Damage to other nearby organs or blood vessels
- Erosion or loosening of the mesh material used during the procedure
- Pain, such as during sexual intercourse
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
Description of Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision sites
- Pain that you cannot control with the medications you have been given
- Cough, shortness of breath, or chest pain
- Severe nausea or vomiting
- Trouble urinating
- Pain, burning, urgency, or frequency while urinating
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
Urology Care Foundation http://www.urologyhealth.org
Canadian Continence Foundation http://www.canadiancontinence.ca
Canadian Urological Association http://www.cua.org
Bladder and Urethral surgeries. Intermountain Healthcare website. Available at: http://intermountainhealthcare.org/ext/Dcmnt?ncid=520693119. Accessed May 27, 2015.
FAQ mid-urethral slings for stress urinary incontinence. Society of Urodynamics Female Pelvic Medicine and Urogenital Reconstruction website. Available at: http://www.sufuorg.com/docs/news/Patient-FAQs-MUS-for-posting.aspx. Accessed May 27, 2015.
Magon N, Chopra S. Transobturator tape in treatment of stress urinary incontinence: it is time for a new gold standard. N Am Med Sci. 2012 May;4(5):226-230.
Surgical management of urinary incontinence. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=33. Updated January 2011. Accessed October 28, 2014.
Surgical mesh. US Food and Drug Administration website. Available at: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm142636.htm. Updated October 6, 2014. Accessed October 28, 2014.
Surgical treatment for female stress urinary incontinence. National Association for Continence website. Available at: http://www.nafc.org/bladder-bowel-health/types-of-incontinence/stress-incontinence/surgical-treatment-for-female-stress-urinary-incontinence. Accessed October 28, 2014.
Transobturator sling for stress incontinence (Subfascial hammock). International Urogynecology Associates website. Available at: http://www.nhs.uk/conditions/Incontinence-urinary/Pages/Treatment-surgical.aspx. Accessed May 5, 2015.
Transobturator tape placement. University of Michigan Von Voigtlander Women's Hospital website. Available at: http://www.med.umich.edu/1libr/Gyn/TOT.pdf. Published April 15, 2015. Accessed May 5, 2015.
Urinary incontinence—surgery and procedures. NHS Choices website. Available at: http://www.nhs.uk/conditions/Incontinence-urinary/Pages/Treatment-surgical.aspx. Accessed May 5, 2015.
Zugor V, et al. TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months. Int Urol Nephrol. 2010 Dec;42(4):915-20.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 05/2015 -
- Update Date: 05/18/2015 -