Female Stress Urinary Leak

Tension free vaginal sling

Stress incontinence in women involves frequent involuntary passing of urine during certain activities that put strain or pressure on your bladder, such as coughing or laughing. The tension-free vaginal tape (TVT) procedure is primarily intended to provide sufficient support for a sagging urethra. As a result, during vigorous movements such as coughing, the urethra remains closed and does not cause accidental release of urine.

Tension-Free Vaginal Tape (TVT) placement refers to a vaginal procedure that is used to rectify stress urinary incontinence and a disorder known as intrinsic sphincter defect. In this procedure, a permanent mesh-like material is placed underneath the urethra through tiny incisions and anchored to the abdominal muscles located above the pubic bone. The mesh-like material acts as a permanent sling underneath the urethra, thus avoiding incontinence when doing strenuous activities or coughing.
General anesthesia or local anesthesia is administered during the surgery. The surgery may last for 30-35 minutes.


Some of the benefits of the surgery include:

  • Less invasive
  • Minimal pain and discomfort
  • High success rate
  • Minute incisions
  • Quick recovery and shorter hospital stay

TVT surgery generally causes minimal pain and discomfort. You can resume daily activities within 1 to 2 weeks. However, it is recommended that you refrain from driving for at least 2 weeks and from sexual intercourse or other strenuous activities for 6 weeks.


Some of the common risks of TVT surgery are:

  • Injury to the bladder or urethra
  • Experiencing difficulty during urination
  • Groin pain
  • Feeling numbness or weakness in the groin or legs.