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GYNECARE TVT™ - Urinary Incontinence

Urogynecology Update News Release - On September 16th, 2010, Dina L. Schweitzer, M.D., FACOG, introduced the newest surgical treatment for women’s stress urinary incontinence to Carlisle Regional Medical Center. The GYNECARE TVT EXACT™ is a new minimally invasive surgical procedure performed in an outpatient setting for the treatment of stress urinary incontinence (SUI), a condition that affects one in three women in the United States.
Click here to download the full News Release

Overview: GYNECARE TVT™

The first time you leaked urine when you laughed or sneezed, you may have chalked it up as a simple accident.

But when any pressure at all — coughing, picking up something heavy, exercise — causes recurring bladder leakage, you may have started wearing pantiliners, sanitary pads or dark clothing, scoping out bathrooms in new places, even sticking closer to home — anything to shield you from embarrassment.

If you’ve been struggling with incontinence, you’re not alone – and help may be available through an outpatient medical treatment. Why keep planning your life around leakage if you don’t have to?

A treatable problem

Stress urinary incontinence (SUI) is treatable. Stress urinary incontinence is a condition in which sudden movements put stress on the bladder, causing urine to leak out involuntarily. While there are several types of incontinence, stress urinary incontinence is the most common, affecting 1 in 3 women, many of them after childbirth.

Why accept the limits that stress urinary incontinence can put on your lifestyle, when treatment can help?

GYNECARE TVT™ Tension-free Support for Incontinence is a 30-minute, minimally invasive, effective treatment for stress urinary incontinence. Most patients experience immediate results with significantly less or no bladder leakage. Moreover, 93% of women surveyed following treatment with GYNECARE TVT™ were still dry or had significantly less bladder leakage 11 years later!

A Solution: GYNECARE TVT™ Tension-free Support for Incontinence

  • GYNECARE TVT™ is a lightweight mesh used in a minimally invasive, effective outpatient treatment for stress urinary incontinence (SUI).
  • Clinically proven safe and effective
  • With over 1 million women treated worldwide – more than any other incontinence treatment of its type – GYNECARE TVT™ is clinically proven, safe and effective.
  • Most patients experience immediate results with significantly less or no bladder leakage. Moreover, 93% of women surveyed following treatment with GYNECARE TVT™ were still dry or had significantly less bladder leakage 11 years later!
  • These women were so satisfied with the treatment that 97% claimed they would recommend the GYNECARE TVT™ procedure to a friend.

How does GYNECARE TVT™ work?

GYNECARE TVT™ is designed to stop urine leakage the way your body was designed to – by supporting your urethra.

Normally, the urethra is supported by the pelvic floor muscles to maintain a tight seal and prevent involuntary urine leakage. In women with SUI, weakened pelvic floor muscles and connective tissue can't support the urethra in its normal position, which is why urine leakage occurs.

To correct this, your doctor will insert a ribbon-like strip of mesh, under the urethra to provide support whenever you stress this area, such as during a cough or sneeze. This helps the urethra to remain closed when appropriate, preventing involuntary urine leakage.

Who’s a candidate for GYNECARE TVT™?

You may be a candidate for GYNECARE TVT™ even if you have undergone surgical treatments for incontinence in the past. A doctor can help you assess whether GYNECARE TVT™ may be right for you.

You are not a candidate for GYNECARE TVT™ if you are pregnant or plan on becoming pregnant, or if you are currently taking an anticoagulant therapy.

Again, a doctor can help you make the best treatment choice. Start by talking about your symptoms. He or she will be able to help you evaluate treatment options that work best for you.

What to Expect

GYNECARE TVT™ Tension-free Support for Incontinence is a 30-minute, minimally invasive, effective treatment for stress urinary incontinence (SUI). Here’s what you can expect.

What happens during the procedure?

GYNECARE TVT™ is designed to stop urine leakage by supporting your urethra with a tape-like strip of mesh. Your doctor inserts the mesh in an outpatient procedure under local, regional or general anesthetic. Depending on your specific needs, the procedure may be performed using very small incisions. Your doctor can tell you specifically what will happen during your treatment.

The mesh acts as a backboard to close the urethra when an activity such as a cough or sneeze occurs, thus preventing the bladder from leaking.

What happens after the procedure?

Patients treated with GYNECARE TVT™ usually return home the same day. The rate of complications is low with GYNECARE TVT™, and most patients can expect a short recovery period.

While recovering, you should be able to resume most daily activities quickly, however, your doctor may advise you to avoid heavy lifting and sexual intercourse for 4 weeks.

Most patients experience immediate results with significantly less or no bladder leakage. Moreover, 93% of women surveyed following treatment with GYNECARE TVT™ were still dry or had significantly less bladder leakage 11 years later!

Long-term, most patients treated with GYNECARE TVT™ experience minimal or no scarring and report high effectiveness over time.

What are the risks with GYNECARE TVT™

All surgical procedures present some risks, so be sure to talk to a doctor about whether GYNECARE TVT™ is right for you.

Complications associated with the procedure include injury to blood vessels of the pelvis, difficulty urinating, pain, scarring, pain with intercourse, bladder and bowel injury.

There is also a risk of the mesh material becoming exposed. Exposure may require treatment. Synthetic mesh is a permanent medical device implant. Therefore, you should carefully discuss the decision to have surgery with your doctor and understand the benefits and risks of mesh implant surgery before deciding how to treat your condition.

The GYNECARE TVT™ procedure should not be performed in pregnant patients. Additionally, because the mesh-like tape will not stretch significantly, GYNECARE TVT™ should not be used in women who plan future pregnancy.

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