tension free vaginal sling

Tension Free Vaginal Sling

What is a "Tension Free Vaginal Sling"?

Tension Free Vaginal Sling is a minimally-invasive surgery that provides support for women with a sagging urethra. This will help prevent or eliminate the accidental release of urine when women cough, laugh or move vigorously or suddenly.

The Tension Free Vaginal Sling procedure uses a mesh or tape that is placed under a woman's urethra like a sling or hammock to keep the urethra in its normal position. The Tension Free Vaginal Sling is inserted through small incisions in a woman's lower abdomen and vaginal wall. Sutures are not required to hold the Tension Free Vaginal Sling in place. Tension Free Vaginal Sling surgery takes about 30 minutes and may be done under local anesthesia so you can cough when asked by the doctor during the procedure to make sure the Tension Free Vaginal Sling is providing the necessary support of your urethra.

What is a "Suburethral sling"?

A "Suburethral Sling" is a type of pelvic support that is constructed (surgically) from muscle, ligament, or synthetic material that elevates the bladder from underneath in the treatment of stress incontinence.

What happens during "Suburethral Sling" surgery?

In Suburethral Sling surgery, the surgeon inserts a supportive strap of material (called the suburethral sling) which elevates the woman's urethra and bladder neck, and then "anchors" it to each side of her pubic bone.

Suburethral Slings are medical devices made from synthetic material, or they can be fashioned from donor tissue or the patient's own tissue, which is cut from her abdominal wall. Although it is a more invasive procedure, some patients prefer using their own tissue, because synthetic material may erode into the urinary tract and cause infection or reduce effectiveness.

Newer techniques for Suburethral Sling insertion are minimally invasive, allowing for smaller incisions and shorter hospital stays. These techniques are "variations on the suburethral sling and they conceptually work the same way to provide a little hammock for support to the urethra.

What is a "Midurethral Sling"?

The "Midurethral Sling" is a minimally-invasive surgical procedure that is performed to treat women with "Female Stress Urinary Incontinence."

What is a "Transobturator Sling"?

The Transobturator Sling is another minimally-invasive surgical procedure that is performed to help women with Female Stress Urinary Incontinence. The
Transobturator Sling surgery is performed by the doctor placing a narrow strip of tape or mesh in a position that provides support for the woman's urethra. The Transobturator Sling procedure eliminates some of the potential complications that come about from other Sling type surgical procedures that blindly passes a large needle carrier through the retropubic space.

What is "Intrinsic Sphincter Deficiency"?

Primarily affecting women, "Intrinsic Sphincter Deficiency" is defined as a weakening of the urethra sphincter muscles.

As a result of the weakening of the urethra sphincter muscles, the urethra does not function normally regardless of the position of the bladder neck or urethra. This condition is a common cause of Female Stress Urinary Incontinence.

What is "Urethral Hypermobility"?

Primarily affecting women, "Urethral Hypermobility" is defined as a failure of the urethra to close.

What is "Urethropexy"?

Urethropexy is a surgical procedure where the support of a woman's urethra is re-supported through sutures that surround the urethra's pelvic floor and vaginal tissues to her pubic bone.

What is Tension Free Vaginal Tape?

Tension Free Vaginal Tape is a minimally invasive surgical procedure preferred by many doctors for treating some women with female urinary incontinence. The Tension Free Vaginal Tape procedure can be performed under local or minimal anesthesia and takes about 30-45 minutes to perform. The recovery period following the procedure is short, and patients experience few complications and minimal scarring after surgery.

The actual Tension Free Vaginal Tape is a ribbon-like strip that acts like a hammock to support a woman's urethra and the Tension Free Vaginal Tape, once placed, stops urine leakage by supporting the woman's urethra.

Tension Free Vaginal Tape has a success rate of 98% after 7 Years based on a follow-up study on the Tension Free Vaginal Tape (TVT) Procedure; International Urology, IUGA Abstract #116 (89): October 2003).

What is "Colposuspension" surgery?

Age and vaginal childbirth takes it toll on women's pelvic organs.

"Female Urinary Incontinence" is one of the problems most (over 50%) women who have delivered babies vaginally have to contend with. Women with Female Urinary Incontinence "leak" urine when they strain, cough, laugh or run. This condition is also called "stress urinary incontinence" meaning the stress of physical activity, not emotional stress is causing her to "leak" urine.

The problems associated with female urinary incontinence are corrected in the the "floor" of the woman's pelvis by several methods or types of surgeries - one of which is called Colposuspension.

A woman's pelvic floor is a sheet of special muscles and ligaments that stretch across the inside of the female pelvis. Women can feel it "tighten" when they try to hold back the flow of urine - or when they strain, cough, laugh or run. The uterus and bladder are located above the pelvic floor. The vagina and the opening of the bladder (the urethra) pass through the pelvic floor. If the pelvic floor weakens, the uterus and bladder "drop" down. The control of the urine is thereby weakened.

Colposuspension surgery strengthens the pelvic floor to lift, or "suspend" the uterus and bladder back up to their correct position within the woman's pelvis

Colposuspension comes from the Greek word for vagina - "colpos."

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