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Tension Free Trans Vaginal Tape (TFT sling)
Tension free transvaginal tape (TFT sling) is a technical advancement of a traditional operation known as a suburethral, pubourethral or pubovaginal sling. The literature supports the pubovaginal sling operation as one of the two most effective operations for the treatment of stress urine incontinence.
The other most effective known operation noted in the literature is the Burch urethropexy The TFT sling device is intended to be used as a pubourethral sling for treatment of female stress urinary incontinence (SUI) resulting from urethral hypermobility and/or intrinsic sphincter deficiency.....
The TFT is a designer sling...a sling procedure that is adjusted for your individual needs. Most slings are indiscriminately pulled "tight" which may indeed correct the leakage but may also cause the patient great difficulty with urination after the operation. This adjustment is individualized for each patient during the TFT operation thus dramatically reducing the chance the patient will need a catheter for any prolonged time period after the operation......
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How Does It Work ?
The SPARC TFT Tension-free support for incontinence primarily consists of a mesh-like tape that is surgically inserted through the vagina to support the bladder neck and urethra, the tube through which urine exists the bladder. Ordinarily, the urethra maintains a tight seal to prevent involuntary loss of urine.......
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Surgery
Surgery using the GYNECARE TVT usually takes approximately 20-30 minutes. While it can be performed under general anesthesia most of the studies performed recommend local or regional anesthesia (ie epidural or spinal). Under local anesthesia the patient will be semi-awake, but will not feel the surgery. This allows the surgeon to evaluate whether the tape is providing adequate support by asking you to cough. Any necessary adjustments can be made right then and there.....
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Complications
All surgical procedures have risk and complications and these entered here should be seen in the context of the published complications of surgery for genuine stress incontinence (Chalia & Stanton 1999). Published papers and personal series on the procedure suggest that complications may occur. However, the total published rate of complications using the TFT device has been minimal......
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