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TVT / TVT-O Continence Surgery

TVT / TVT-O Continence Surgery - What it is

What Is TVT / TVT-O Continence Surgery?

TVT stands for Tension-free Vaginal Tape which is made of prolene. It has become the new "gold standard" operation for treating women with stress urinary incontinence. The result at 5 years is 85% cure, 10% improved and 5% failure. It was introduced in Sweden in 1995. The first operation in Singapore was performed at our hospital in November 1998. A newer version of the procedure, TVT-O (tension-free vaginal tape-obturator) was introduced in May 2004 in our hospital. It is equally good in curing stress urinary incontinence.

What Are The Advantages Of TVT / TVT-O Continence Surgery?

Both the TVT & TVT-O continence surgery takes between 10 to 15 minutes to perform. It can be done under regional or general anaesthesia. It can be done as a day surgery so that you may go home on the same day. The post-operative pain and the risks of surgery are less as compared to Burch Colposuspension - another well-established continence surgery. As with any continence surgery, it is advisable for a patient who has not completed her family to do so before having the TVT/TVT-O surgery so as to reduce the risk of failure.


What Are The Risks Associated With TVT / TVT-O Continence Surgery?

The TVT / TVT-O continence surgery is generally a safe procedure. However, like all surgeries, complications may occur occasionally. These include:

  • Risk of anaesthesia
  • Bleeding
  • Infection
  • Injury to surrounding tissues (e.g. bladder, rectum and blood vessels)
  • Formation of blood clot in the legs or lungs
  • Rejection of tape - As the tape is a synthetic tape which will be left permanently in the body, rejection may occur.

What Are The Bladder Specific Complications In TVT / TVT-O Surgery?

As with other continence surgeries, there are certain bladder specific complications which may arise from TVT surgery:

  • Injury to bladder for TVT; the risk is much lesser for the TVT-O surgery
  • Need to go to the toilet frequently
  • The urge to void
  • Incontinence due to urgency
  • Slow urine flow
  • Inability to void completely necessitating prolonged catheterisation or intermittent self catheterisation
  • Failure

TVT / TVT-O Continence Surgery - Symptoms

TVT / TVT-O Continence Surgery - How to prevent?

TVT / TVT-O Continence Surgery - Causes and Risk Factors

TVT / TVT-O Continence Surgery - Diagnosis

TVT / TVT-O Continence Surgery - Treatments

TVT / TVT-O Continence Surgery - Other Information

The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth