Stress incontinence in the women may cause frequent involuntary discharge of the urine during activities that will put pressure on patient’s bladder, like laughing or coughing. The tension-free vaginal tape (TVT) method was designed to provide the support for the sagging urethra so that when patient cough or move fastly or suddenly, the urethra will remains closed with there is no accidental release of the urine.


  • TVT surgery will be done under the local anesthesia or sedation but mostly it will be done under general or spinal anesthesia.

  • In TVT surgery, a mesh tape was placed below patient’s urethra like a sling or hammock to hold it in its normal position.

  • The tape was inserted by the tiny incisions in patient’s abdomen and vaginal wall. No sutures were required to hold the tape in place.

  • TVT surgery usually takes about 30 minutes & can cough at the doctor’s request to test the tape’s support of the urethra.

  • After the operation was performed, patient may experience: Nausea & rarely vomiting then patient’s need to should take rest & take medication to relieve with these symptoms, pain from the wound this also generally mild and will be given painkillers.

  • TVT operation generally causes minimal pain & discomfort. Even though patient’s can resume their normal activities in 1 to 2 weeks

  • After the operation, patient will be seen at 1 week, 1 month, 6 months and yearly interval gaps thereafter. Urodynamic studies need be done once again at 6 months after the surgery was done, to confirm cure & to rule out other disorders related to the bladder.

Bladder injury & problems related to urinating after the surgery were less common with TOT operation. But TOT operation has other complications includes: Groin pain after the surgery, numbness or weakness in the legs or groin. There is also a risk of problems that may caused by the mesh tape which was used in the surgery.