The TVT operation works by supporting the middle of the urethra with a tape. The tape is made of Prolene and has a long needle at either end. A 3cm incision is made in the vagina underneath the urethra and two 1cm incisions are made at the bottom of the abdomen beneath the pubic hair line. The needles are passed upwards from the vagina so that the tape comes to lie underneath the urethra.
A telescope is inserted through the urethra into the bladder to make sure that there is no bladder injury. The tape is then placed in the correct position and the needles are removed. Dissolving stitches are placed in the incisions. If an overnight stay is planned, then a catheter is often put in the bladder.
Diagram showing the tape in position.
Unusually, I can’t remember any time spent in Recovery at all, just being wheeled back to my room again, where a nurse came in and set up my saline and antibiotic drips. She also set up morphine and an anti emetic as morphine makes me nauseous. I remember briefly ‘phoning Matthew to let him know I had survived the operation and I contacted Flick too. Later, during the night, paracetamol replaced the morphine on the dripstand. Dr Braguet, my surgeon, came in to see me during the early evening, examined my abdomen and reported that everything had gone well.