Risks, Side Effects and Complications of the TVT-O (Tension Free Vaginal Tape Obturator) for Urinary Stress Incontinence

 1) Dizziness after the TVT-O  (Tension Free Vaginal Tape Obturator)

  • bullet_tickshutterstock_326826464Nausea and vomiting in 1-2 days after the TVT-O (Tension Free Vaginal Tape Obturator) may be experienced, as a side effect of the Sedation Anesthesia or the General Anesthesia, which is noted to be relieved as soon as its effect wears off.

2) Pain after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickPain around the thighs may be experienced 2-3 days after your surgery, which will completely heal in one week. Take your pain medicines and anti-inflammatory drug as prescribed by Dr. Vitasna.
  • bullet_tickOccasionally, you may experience swelling, itchiness, irritation or tightness around the surgical wound. You should refrain from working because it may cause bruising. In case of swelling and severe pain in the surgical area, please do not hesitate to come to see Dr. Vitasna.

3) Urinary frequency or difficulty in urination after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickUrinary frequency or difficulty in urination may be noted due to the surgery of the anterior vaginal wall which affects the urethra. As a result of the difficulty in urination after the TVT-O (Tension Free Vaginal Tape Obturator), you may be catheterized for 1-2 days after the surgery.
  • bullet_tickAfter the TVT-O (Tension Free Vaginal Tape Obturator), you may sometimes experience increase in urinary frequency, slow urinary flow, and/or longer time of urination (compared with before the surgery).

4) Abnormal bleeding after the TVT-O (Tension Free Vaginal Tape Obturator) 

  • bullet_tickAbnormal bleeding is very seldom noted with less than 1 % of surgeries. Hematoma may possibly be caused by walking and other activities. Aspirin and other anti-coagulant drugs should be avoided at least 10 days before and after the scheduled surgery.
  • bullet_tickIf excessive bleeding from the surgical wound occurs after the TVT-O (Tension Free Vaginal Tape Obturator), all expenses for services and treatment for this post-surgical complication will no longer be charged to you. However, if the bleeding or other complications occur due to your non-compliance with the physician’s orders, you will be charged accordingly.

5) Abnormal Vaginal discharge after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickYou may experience abnormal vaginal discharge, a green-yellowish discharge, after the TVT-O (Tension Free Vaginal Tape Obturator) because the vagina is full of secretion fluid and various kinds of bacteria, causing reaction to the surgical wound and suture.
  • bullet_tickYou may have itching or curd like discharge as a result of vaginal fungal infection, possibly following taking antibiotic to avoid postoperative infection. In case of smelly vaginal discharge or vaginal fungal infection, you have to take additional medications.

6) Inflammation or Infection after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickYou may experience inflammation or infection because the TVT-O (Tension Free Vaginal Tape Obturator) is performed around the area of the vaginal opening near the urinary and alimentary (fecal) tracts. The surgical wound has a constant contact with vaginal secretion (fluid) and vaginal bacteria that can cause the complications.
  • bullet_tickMostly inflammation or infection of the wound occurs with women who have vaginal bacterial infection before the TVT-O (Tension Free Vaginal Tape Obturator). If you have vaginal bacterial infection, antibiotics should be given to you before the surgery.
  • bullet_tickInflammation or infection after the TVT-O (Tension Free Vaginal Tape Obturator) may cause complications; wound deformation, suture mark (scar) or wound tearing leading to abnormal vaginal bleeding. In some cases the vaginal scar located at the G-Spot may interrupt sexual gratification.

7) Other complications after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickIn case of the TVT-O tape moving from the middle urethra, which affects the surgical result and the post-operative difficulty in urination, a corrective surgery may be needed. This mostly happens in other cases done with other surgeries, such as Anterior-Posterior Vaginal Repair with TVT-O (Tension Free Vaginal Tape Obturator).
  • bullet_tickLeakage between the urethra, the bladder, and the vagina is theoretically considered a rare precaution. Nevertheless, if you have some vaginal fluid with urine-like smell, please inform Dr. Vitasna immediately for prompt diagnosis and treatment of such symptom.

8) Unsatisfactory results after the TVT-O (Tension Free Vaginal Tape Obturator)

  • bullet_tickThe TVT-O (Tension Free Vaginal Tape Obturator) has limitations and cannot absolutely ensure results and satisfaction because there are many other factors influencing the surgical result and satisfaction.
  • bullet_tickIn case of unsatisfactory results, correction surgery may be performed as appropriate and possible. In this respect, you and the physician should come to discuss for the solution together.
  • bullet_tickIf correction surgery wound occurs from the complication of the TVT-O (Tension Free Vaginal Tape Obturator), all expenses for services and treatment will no longer be charged to you. However, if the unsatisfactory results occur due to the complication from your non-compliance with the doctor’s orders, you will be charged accordingly.

Check-up: Dr. Vitasna usually requires you to come for a follow up check-up 1-2 weeks after the surgery. Please do not hesitate to  contact us with any questions or concerns.