Skip to main content

Advertisement

SpringerLink
Log in

Transvaginal suture placement for bleeding control with the tension-free vaginal tape procedure

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Tension-free vaginal tape (TVT) is a well-established surgical procedure for the treatment of female urinary stress incontinence. The operation, described by Ulmsten in 1995, is based on a midurethral Prolene tape support. TVT is accepted as an easy-to-learn and safe minimally invasive surgical technique. Intraoperative bleeding was described as complicating former surgical methods for correction of female urinary stress incontinence as well as TVT. The aim of this paper was to describe a simple transvaginal hemostatic suture placement to control accidental intraoperative hemorrhage. Of 566 patients undergoing TVT and followed for up to 68 months, 9 (1.6%) had intraoperative bleeding of 200–800 ml, all of which were diagnosed and corrected among the first 466 procedures. The last 100 patients had a transvaginal hemostatic suture placed whenever more than minimal bleeding occurred and hemostasis was achieved immediately with all. The benefit of this minimal, fast, and simple surgical step is assessed and discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ulmsten U, Henriksson L, Johnson P et al (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86

    CAS  Google Scholar 

  2. Olsson I, Kroon U (1999) A three-year postoperative evaluation of tension-free vaginal tape. Gynecol Obstet Invest 48:267–269

    Article  CAS  PubMed  Google Scholar 

  3. Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77

    Article  PubMed  Google Scholar 

  4. Paraiso MFR, Muir TW, Sokol AI (2002) Are midurethral slings the gold standard surgical treatment for primary genuine stress incontinence? J Am Assoc Gynecol Laparosc 9:405–407

    Google Scholar 

  5. Waetjen LE, Subak LL, Shen H et al (2003) Stress urinary incontinence surgery in the United States. Obstet Gynecol 101:671–676

    Article  Google Scholar 

  6. Neuman M (2002) Infected hematoma following tension-free vaginal tape implantation. J Urol 168:2549–2550

    Article  PubMed  Google Scholar 

  7. Aungst M, Wagner M (2003) Foley balloon to tamponade bleeding in the retropubic space. Obstet Gynecol 102:1037–1038

    Google Scholar 

  8. Elard S, Cicco A, Salomon L, You K, de La Taille A, Vordos D et al (2002) Embolization for arterial injury incurred during tension-free vaginal tape procedure. J Urol 168:1503

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Urogynecological Service, Department of Gynecology, Shaare Zedek Medical Center, Ben-Gurion University of the Negev, Jerusalem, Israel

    Menahem Neuman

Authors
  1. Menahem Neuman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Menahem Neuman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Neuman, M. Transvaginal suture placement for bleeding control with the tension-free vaginal tape procedure. Int Urogynecol J 17, 176–177 (2006). https://doi.org/10.1007/s00192-004-1280-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-004-1280-3

Keywords

Search

Navigation