TVT-O (Tension free Vaginal Tap) surgery is performed to treat the condition of stress incontinence in women.
Stress incontinence causes the urine to leak through the urethra into the vaginal vault every time there is stress on the urinary bladder, like when laughing, sneezing, etc.
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Urinary incontinence is caused due to sagging of the urethra
Sagging may be due to various reasons, such as age, physical health, injury, etc.
The surgery is performed to restore the urethra to its original state, and to keep it that way for as long as possible
Sometimes, it may be due to infection to the bladder itself
The surgery takes 10-15 minutes to perform, and the patient may leave for home the same day itself
The patient will have to undergo blood tests, ECG, etc to ensure overall health
The patient may be given oral or vaginal oestrogen, to thicken the vaginal tissue, thereby aiding surgery as well as healing
The surgery is performed with the patient under effect of an anesthetic
The patient is asked to have a void bladder for a few hours before the surgery
The doctor will make two small incisions in the groin, and a slightly longer one on the anterior vaginal skin
The tape is then inserted through these incisions and the bladder neck is held in this tape
The tape literally acts as a sling to the bladder neck
The patient may experience slight nausea, pain from the wound, or problems related to anesthesia.
The patient will have a urinary catheter inserted into the bladder, which will be removed at the end of the day.
The patient can go home the next morning.
The doctor should be reported to after one week, one month, six months and yearly as per the observations and recovery.
The patient is advised not to engage in sexual activities for at least a month.
The patient is not supposed to lift heavy loads or to put stress on the back.
MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.Read more [+]