Meanwhile, the traditional treatments for pelvic organ prolapse, which included suturing to reconstruct and repair the affected organs and surrounding tissue, were proving less successful, with reports of up to 29% of women suffering another prolapse after treatment. By contrast, a TVT procedure typically takes 3o minutes, is performed using keyhole surgery and patients often go home the same day. The most common form of implant, called a transvaginal tape (or TVT), has been widely used to treat stress incontinence across Europe, the US and Australia since the early 2000s.Įarly clinical trials suggested excellent efficacy and many surgeons saw advantages over traditional open-surgery procedures, which took longer to perform, involved a longer recovery for patients and were associated with their own range of complications. The idea is that tissue will grow into the pores of the mesh to create a wall of support. A small incision is made in the vaginal or abdominal wall, and the surgical mesh is implanted and held in place by sutures or tissue fixation devices. Surgery can be done through the abdomen (transabdominal) or through the vagina (transvaginal). The aim of the mesh is to give permanent support to the weakened organs and to repair damaged tissue. There are different brands and manufacturers. It comes in a number of forms including a “sling”, “tape”, “ribbon”, “mesh” and “hammock”.
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