Tension free vaginal tape in the management of genuine stress incontinence in women - the Indian experience

Abstract

Objectives: To study retrospectively the results of the Tension Free Vaginal Tape (TVT), a new ambulatory sur-gical procedure for the treatment of stress urinary incon-tinence (SUI) among Indian women. Methods: TVT implies the implantation of a prolene tape around the mid-uretha via a minimal vaginal incision. TVT was done on 54 patients diagnosed to have Genuine Stress Incontinence (GSI). The procedure was done either under regional anaesthesia (RA) or under local anaesthesia (LA) with IV analgesics. Results: Thirty-eight patients underwent only the TVT procedure and in 16 patients concomitant procedures were done along with the TVT The TVT was done as the pri-mary procedure for GSI in 46 patients. Eight patients had prior surgery for stress incontinence. All patients were followed up from 6 months to 2 years. Forty-eight (88%) patients reported complete cure. There was significant improvement of symptoms in 4(7.4%) patients and in 2(3.7%) the surgery failed. Conclusions: These results prove that the TVT proce-dure is a minimally invasive, safe and effective method for the treatment of SUI in women.

Keywords

• TVT
• GSI
• prolapse surgery
• minimally invasive.