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Advanced Technical IVT

suburethral sling

Surgical procedure using synthetic mesh or biological material placed under the mid-urethra to treat stress urinary incontinence.

Full Definition

A minimally invasive surgical procedure for treating stress urinary incontinence in women, involving placement of a synthetic mesh tape or biological sling material under the mid-urethra to provide support during increased intra-abdominal pressure. Common techniques include tension-free vaginal tape (TVT), transobturator tape (TOT), and single-incision slings. The procedure aims to restore the normal urethrovesical angle and provide a backstop for urethral compression during stress maneuvers. Complications may include mesh erosion, voiding dysfunction, and de novo urgency.

Usage

Usage note: Specify sling type and approach; distinguish from other anti-incontinence procedures.

In Context

  • "The patient underwent transobturator suburethral sling placement for recurrent stress incontinence." — Operative report
  • "Post-operative voiding trial was successful following suburethral sling procedure." — Post-operative note

Also known as

mid-urethral sling tension-free vaginal tape TOT TVT

Don't confuse with

pubovaginal sling bladder neck suspension urethropexy

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