OBJECTIVE To provide an introduction to the tension-free vaginal tape (TVT) procedure, placing it in the context of minimally invasive surgeries for the treatment of urinary stress incontinence in women, and to provide guidance to surgeons counselling women on the merits of this surgical choice. OPTIONS This discussion is limited to surgical treatment of urinary stress incontinence in women. ...

A 54-yr-old womanwas admitted to our department because of intermittent urinary tract infection, fever and right flank pain for 2 months after having been performed a tension-free vaginal tape (TVT) for stress urinary incontinence in local hospital. 2 weeks before admission, the fever exceeded 39 C and the right flank pain became severe. The patient had had involuntary leakage of urine associat...

BACKGROUND Tension-Free Incontinence Cystocoele Treatment (TICT) was introduced by Leanza-Gasbarro-Caschetto in 2001, on the basis of experimental and clinical investigations to obtain a physiologic mechanism of closure and opening of the urethra in the event of genuine stress urinary incontinence (S.U.I.) and cistocoele. TICT took origin from the previous retropubic tension-free vaginal tape (...

Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for pelvic organ prolapses. Since commercial kits are not readily available in Japan, we have planned tailor-made mesh by information of each patient before every TVM surgery. The aim of this report is to inform methods to design mesh for individual patients with pelvic organ prolapses. We also investigated the...

PURPOSE We evaluated the long-term outcome and complications of high levator myorrhaphy for vaginal apical defects. MATERIALS AND METHODS A total of 286 patients underwent high levator myorrhaphy. Patients underwent preoperative and postoperative urogynecologic assessment, including evaluation of prolapse stage according to the international pelvic organ prolapse staging system and convention...