What is TVT Continence Surgery

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What is Urinary Incontinence?

…..TVT stands for Tension-free Vaginal Tape which is made of prolene. TVT Surgery is a relatively new operation for treating women with stress urinary incontinence. The result after five years shows 85% cured, 10% improved and 5% failure. This treatment was introduced in Sweden in 1995.

 

What are the Advantages of TVT Continence Surgery ?

….The TVT Continence Surgery takes between 30-60 minutes to perform. It can be done under local or regional anaesthesia and as a day surgery so that patient can go home on the same day. The post-operative pain and the risks associated with the surgery are less as compared to Burch Colposuspension, another well-established continence surgery.

 

What are the Risks Associated with TVT Continence Surgery?

The TVT Continence Surgery is generally a safe procedure. However, like all surgeries, complication may occur occasionally. These include.

  • Risk of anaesthesia reaction
  • 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 synthetic tape rejection of tape
  • as the tape is synthetic tape rejection may occur. However, no rejection have been reported so far.

 

What are the Bladder Specific Complication in TVT Surgery

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

  • Need to go to the toilet frequently
  • The urge to void
  • Incontinence due to urgency
  • Slow urine flow
  • Inability to void completely necessiting prolonged catherisation  or intermittent self catheterization
  • Failure to cure problem

 

What you need to do Prior to Surgery?

  • Blood tests, heart tracing (ECG) and chest X-Ray may be done to ensure that you are in optimal health.
  • You may be given oral or vaginal oestrogen (hormone) it you are near or already menopausal. It is important to comply with this medication as it thickens your vaginal tissues for easy surgery and faster healing.
  • All your medication and mesical conditions, if any, must be made know to the doctor and must be optimally controlled.
  •  If you are on aspirin, you should inform your doctors. You will have to stop taking it a week prior to the surgery.
  • You cannot eat or drink after midnight on the day before surgery.
  • You may be admitted on the same morning of the day before surgery.
  • You will be given preparation to clear your bowel and have your public area shaved.

 

What can you expect in the Operating Theatre ?

….The TVT continence surgery is usually done under local or regional anaesthesia (i.e. you will be conscious during surgery). However, it you prefer general anaesthesia,(i.e. where you will be asleep throughout the operation )You may discuss this with the anaesthesia. The operation involves two small incisions of 0.5 cm each on your lower abdomen below your public hairline and a 1.5 cm incision on your anterior vaginal skin. The TVT tape is inserted takes between 30-60 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.

 

What happens after the Operation ?

  • After the operation, you may expiration?
    – Nausea and occasional vomiting – medication will be given to relieve these symptoms.
    – Pain form the word – this is usually mild and you will be given painkillers.
    – Post-operative care – you shoud rest and graduslly increase your movement. The physintherpist can help if necessary.
  • If you are given regional anaesthesia, a 6 hour bed rest is recommended before you are allowed to get out of bed. After that, you are encouraged to move around.
  • You will be allowed to drink and eat on the same day of the operation.
  • You will be allowed to drink and eat on the same day of the operation.
  • The vaginal pack, if any, will be removed the next day.
  • The urinary catheter, if fitted, will be removed later on the same day or on the next day. You will be encouraged to pass urine on your owe. The volume of the remaining urine will be measured. If you can urinate adequately, you will be discharged home.
  • You are advised not to engage in sexual activity, drive a car or use a douch your vagina for a mouth after surgery.
  • You are advised not to carry heavy weights (of more than 5 kg) for the first mouth after surgery.
  • You will be given one mouth’s hospitalization leave.
    – You should return immedidtely to BNH LUC Centre at BNH Hotpital. If you have:
    1. Severe vaginal bleeding
    2. Severe abdominal distension or pain
    3. Foul smelling discharge from the wound
    4. High fever
    5. Pain when passing urine
    6. Difflulty in passing urine or motion
    7. Pain or swelling of the calves

Follow – up Visits

….After the surgery, you will be seen at one month, six mouth and yearly intervals. Urodynamic studies may be repeated at six mouth after surgery to confirm a position outcome and to exclude other bladder disorders.

 

Appointment :

For further information or to make an appointment, please contact us by
Telephone on (+662) 686-2700   E-mail : info@www.bnhhospital.com