The tension free vaginal tape (TVT) is a minor surgical treatment for urinary leakage with coughing, sneezing, exercise, and lifting (stress). This is an outpatient procedure, being able to leave the Day Surgery area within one to two hours after surgery. It is very effective at stopping leakage with stress. In the past, sutures were used to lift the bladder to the pubic bone. However, sutures could break or pull out of the tissue. The TVT is a one-half inch wide tape that will not break, and is not sutured in place. It has hundreds of holes, like gauze, that the body latches onto and strongly holds the tape in place from the beginning. Older bladder pinups were more likely to weaken over time.
Every activity in life carries risks including TVT. The risk of infection is low, but antibiotics are used for your protection. The risk of transfusion or injury to the pelvic organs such as the bladder, bowel, blood vessels, or nerves is roughly 1 out of 1,000. The TVT is a remarkable improvement over older, large incisions and restores control to your life and the ability to exercise and not be embarrassed anymore. Treatment for stress urinary incontinence is medically appropriate and covered by the usual insurance. The Olathe OB/GYN staff is available to help with insurance processing or questions.