The TVT / TVT-O continence surgery is usually done under regional or general anaesthesia (i.e. where you will be asleep throughout the operation). You may discuss it with the anaesthetist.
The TVT operation involves two small incisions of 0.5 cm each on your lower abdomen below your pubic hairline and a 1.5 cm incision on your anterior vaginal skin. The TVT tape is inserted below your urethra into the abdominal wound. The operation takes about 15 minutes. At the end of the surgery, a urinary catheter may be inserted into your bladder to allow free urine flow. A vaginal pack may be inserted as well.
The TVT-O tape is inserted through the same 1.5 cm anterior vaginal wall incision; but has two 0.5 cm incisions in the groin area instead.
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