Guidance on the use of tension-free vaginal tape (Gynecare TVT) for stress incontinence

National Institute for Clinical Excellence
Record ID 32003000495
English
Authors' objectives:

To provide guidance on the use of tension-free vaginal tape (Gynecare TVT) for stress incontinence.

Authors' recommendations: Guidance: 1.1 The tension-free vaginal tape (TVT) procedure is recommended as one of a range of surgical options for women with uncomplicated urodynamic stress incontinence in whom conservative management has failed. 1.2 In making the decision to use TVT, the patient should be fully informed of the advantages and drawbacks of the relevant surgical procedures. The considerations should include: - the advantages of a minimal-access technique, set against the disadvantage of the absence of data on long-term effectiveness - whether the woman is likely to have children subsequently - whether the procedure will be used in conjunction with another procedure, such as vaginal hysterectomy or repair of prolapse. 1.3 The TVT procedure should be performed only by surgeons who have received appropriate training in the technique, and who regularly carry out surgery for stress incontinence in women.
Authors' methods: Systematic review
Details
Project Status: Completed
URL for project: http://www.nice.org.uk/cat.asp?c=58073
Year Published: 2003
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Female
  • Surgical Mesh
  • Urologic Surgical Procedures
  • Urinary Incontinence, Stress
  • Vagina
Contact
Organisation Name: National Institute for Clinical Excellence
Contact Address: MidCity Place, 71 High Holborn, London WC1V 6NA, UK. Tel: +44 020 7067 5800; Fax: +44 020 7067 5801
Contact Name: nice@nice.nhs.uk
Contact Email: nice@nice.nhs.uk
Copyright: National Institute for Clinical Excellence (NICE)
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