TVT Urinary Incontinence Surgery. Prices, Reviews, Ratings
General information
Most often, women experience stress urinary incontinence. This means that the bladder weakens and cannot hold urine in stressful or other situations. For example, spontaneous urination may occur during laughter, crying, lifting heavy objects, playing sports, running, etc. In such a case, TVT may be prescribed.
The use of such a technique has its advantages. For example, such an operation can be performed on women weighing up to 95 kg, as well as on elderly women.
Procedure
Preparation
Before TVT surgery, the following tests must be completed:
- urine analysis for sugar and infections;
- blood chemistry;
- X-ray examinations if necessary.
TVT surgery process
The operation begins with an examination of the patient by an anesthesiologist. General or local anesthesia is prescribed. A spinal anesthetic may also be administered at the doctor's discretion. The patient can discuss the types of anesthesia with the anesthesiologist immediately before the operation.
Stress urinary incontinence is eliminated by inserting an implant made of bioinert synthetic tape into the urethrogenital area to replace damaged muscle fascia. First, the incision area is treated with an antiseptic. An incision no more than 1 cm wide is made on the anterior wall of the vaginal canal. The tape is passed through the incision to the middle of the urethra. Small incisions are made in the abdominal area (up to 3 mm) and needles are inserted through them. Then the implant is rigidly fixed, and each of the incisions is sutured.
The entire procedure lasts no more than 40 minutes.
Rehabilitation course
After the operation, the patient can be discharged from the hospital almost the next day. Over the next few days, the patient must take antibiotics prescribed by the attending physician. Also, for a period of two to three weeks, you cannot lift weights, have sex, or do heavy physical labor.
Indications
Indications for TVT surgery are:
- stress urinary incontinence;
- urgent urinary incontinence.
Contraindications
TVT surgery is contraindicated:
- during pregnancy;
- if the woman plans to have children in the future (in this case, other methods of surgical treatment may be used);
- if the patient takes blood thinners;
- with poor blood clotting.
Complications
Possible complications after surgery:
- low urethral patency;
- activation of previously existing infectious processes;
- inflammation in the area of the sutured wound;
- short-term erosion and fistula.
Prices and clinics
The surgery is performed by an experienced surgeon. The cost of the procedure depends on the clinic, the surgeon's qualifications, and the cost of the implant. Typically, the price of TVT ranges from 60 to 120 thousand rubles. The site provides you with a list of clinics that perform TVT surgery. Here you can also view information about doctors, their professional experience, find prices for procedures, and make an appointment online.
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