Abstract
The tension-free vaginal tape (TVT) technique was introduced into clinical practice in 1994–95, and since then approximately 200 000 operations have been performed worldwide. The operation, which differs significantly from traditional anti- incontinence surgical procedures, is based on the results of a series of experimental investigations of the urethral closure mechanisms in women.1–3 According to these results, formulated in the integral theory,1,2 the urethra is not properly closed in stress incontinent women as a result of dysfunctions or defects in pubourethral ligaments (PUL), subu¬rethral vaginal wall (SUW), pubococcygeus muscles (PCM) and paraurethral connection tissue (PCT)1,2 (Fig. 8.1). The TVT operation aims to correct or reconstruct these dysfunctions or defects. TVT can thus be characterized as a reconstructive surgical procedure of the female lower urinary tract.1–4
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References
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Ulmsten, U. (2003). Tension-free Vaginal Tape. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_8
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DOI: https://doi.org/10.1007/978-1-4471-0659-3_8
Publisher Name: Springer, London
Print ISBN: 978-1-85233-362-1
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