This procedure is appropriate for may types of patients, including overweight women and patients who have previously undergone other operations for incontinence. However experience on the part of the surgeon is especially necessary if the patient has undergone other operations in the past for incontinence. The blind retropubic passage of the TVT device can be much more difficult in patients with previous incontinence surgery due to the severe amount of scarring which occurs after such surgery. As with any surgery of this kind, this procedure should not be performed in pregnant patients. Additionally, because the mesh-like tape will not stretch significantly, the TVT procedure should not be used in women who plan future pregnancy.
All surgical procedures carry risks.
Although rare, complications associated with TVT include injury to blood vessels of the pelvic sidewall and abdominal wall, hematomas, urinary retention, and bladder and bowel injury. Click here . Click here . All text and images on this web site are property of Dr. John R. Miklos and may not be reproduced in any way without permission.