Before I retired from work, I used to see ladies with continence problems and I used to provide conservative treatment. Very often, this was successful, but sometimes, those – particularly with post-childbirth stress incontinence – needed further intervention.
This was sometimes in the form of tension-free tapes, and the results were good.
However, more recently, there have been concerns reported.
In my opinion each one has its own advantadges and disadvantadges. TVT's Pros are their better long-time outcome and Cons their heigher rate of blader perforations. TOT are easier to perform but have more pelvic postoperative pain.
Thank you for your answer. I seem to remember that TVT was carried out initially and later, the ladies who then went on to have this type of surgery had TOT.
The fact that only one lady went back onto my caseload after this type of surgery felt positive; but the fact that I used to see ladies outside of my clinical area, who I had referred back to their general practitioner, (requesting referral on to the urologist), who had then had tape surgery and were extremely satisfied, always seemed like a happy ending!
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