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Original ArticleOpen Access
Tension-Free Vaginal Tape Procedure for the Treatment of Stress Urinary Incontinence: The First Experience in Thailand
Kochakam W 
Objective: Tension-free vaginal tape (TVT) is gaining popularity as an effective treatment
for genuine stress urinary incontinence. To better understand this procedure including its results, a
retrospective study was carried out to determine surgical technique, effectiveness, safety and early
results of this new continence procedure.
Material and Method: From January 1999 to July 2000, twenty female patients with the
mean age of 52 years old underwent the TVT procedure. All of them were done by a small incision at
mid urethra and a special instrument was used to apply a polypropylene mesh supporting the urethra.
Urethral catheter was used as urinary drainage which was removed the next day. Operative time, post-
operative course, voiding patterns and residual urine were recorded.
Results: Mean operative time was 32 minutes (range 15-45 minutes). Up to 10 months, all
of the patients were subjectively cured. There was no significant per-and post-operative compli-
cation including blood loss, wound infection and severe pain. Four patients (20%) had marked resi-
dual urine (>100 ml) and needed clean intermittent catheterization for the mean of 0.7 week.
Conclusion: Although the follow-up period was short, the TVT procedure seems to be a
safe and effective method for the treatment of stress urinary incontinence.
Key word : Tension-free Vaginal Tape, Stress Urinary Incontinence, Surgery
for genuine stress urinary incontinence. To better understand this procedure including its results, a
retrospective study was carried out to determine surgical technique, effectiveness, safety and early
results of this new continence procedure.
Material and Method: From January 1999 to July 2000, twenty female patients with the
mean age of 52 years old underwent the TVT procedure. All of them were done by a small incision at
mid urethra and a special instrument was used to apply a polypropylene mesh supporting the urethra.
Urethral catheter was used as urinary drainage which was removed the next day. Operative time, post-
operative course, voiding patterns and residual urine were recorded.
Results: Mean operative time was 32 minutes (range 15-45 minutes). Up to 10 months, all
of the patients were subjectively cured. There was no significant per-and post-operative compli-
cation including blood loss, wound infection and severe pain. Four patients (20%) had marked resi-
dual urine (>100 ml) and needed clean intermittent catheterization for the mean of 0.7 week.
Conclusion: Although the follow-up period was short, the TVT procedure seems to be a
safe and effective method for the treatment of stress urinary incontinence.
Key word : Tension-free Vaginal Tape, Stress Urinary Incontinence, Surgery
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