Tension free vaginal tape (TVT) : Experience in Siriraj Hospital.

ABSTRACT

Early experience of a TVT operation in 39 patients was reported. Retrospective data was collected from patients’ files. All of the patients experienced symptoms of stress incontinence and 9 patients had stress incontinence and overactive bladder. Of 39 patients, 8 patients and 6 patients underwent A-P Repair and Anterior repair in the same setting of the TVT operation, respectively. Mean operative time was 51.41 minutes. Estimated blood loss was 65 mls. with average catheterization time of 3.1 days. Only minor complications were reported, including urge incontinence2, urinary retention 1, bladder perforation 1 and urethral injury 1. Stress incontinence was cured in 36 patients after 1 month follow up. The TVT operation was safe, simple and suitable for treatment of stress urinary incontinence.