Academic literature on the topic 'Tension free vaginal tape (TVT)'

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Journal articles on the topic "Tension free vaginal tape (TVT)"

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Gunnemann, A. "Transobturatorisches Tape (TOT), Tension free vaginal Tape (TVT)." Aktuelle Urologie 46, no. 05 (September 17, 2015): 410–15. http://dx.doi.org/10.1055/s-0035-1564153.

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Potic, Milan, Ivan Ignjatovic, and Dragoslav Basic. "Tension free vaginal tape (TVT) vs transobturator tape(TOT) complications and outcomes." Acta chirurgica Iugoslavica 61, no. 1 (2014): 81–84. http://dx.doi.org/10.2298/aci1401081p.

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Background: Stress urinary incontinence (SUI) is managed with both TVT and TOT. The TVT route of placement could result in a higher complication rate. The aim of this study is to analyze and compare outcomes and complications of TVT and TOT in SUI treatment. Methods: Prospective study in 64 women with isolated SUI was validated through Urogenital Distress Inventory (UDI-6), Incontinence Impact questionnaire (IIQ-7) and International Continence Impact Questionnaire (ICIQ5-SF). Intraoperative and postoperative complications were noted. Patients were considered cured when negative on stress test and with no need for additional surgery during follow up, after one and three months. Results: The cure rates for both TVT 26/30 (86,6%) and TOT 30/34 (88,2) were comparable. Higher rates of bleeding, bladder perforations, pain and dyspareunia are recorded in TVT group. Quality of life graded on the questionnaire basis proved significant improvement in both procedures. Conclusion: Both TVT and TOT have comparable cure results in the treatment of SUI. The TOT is equally effective in the SUI treatment with significantly lower complication incidence.
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Takeyama, Masami, Masanori Noma, Keisuke Yamamoto, Hiroshi Kiuchi, Toshiaki Hirai, Minori Matsumoto, Masahiro Nakagawa, and Minoru Koga. "COMPLICATIONS OF TENSION-FREE VAGINAL TAPE PROCEDURE." Japanese Journal of Urology 97, no. 4 (2006): 619–24. http://dx.doi.org/10.5980/jpnjurol1989.97.619.

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Bhadana, Priyanka. "Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up." Journal of South Asian Federation of Obstetrics and Gynaecology 9, no. 2 (2017): 95–99. http://dx.doi.org/10.5005/jp-journals-10006-1467.

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ABSTRACT Objective To compare the effectiveness of tension-free vaginal tape (TVT) and tension-free obturator tape (TOT) in treatment of genuine stress urinary incontinence and study the related complications. Materials and methods About 150 cases with complaints of stress urinary incontinence were taken during 5-year period, and they were confirmed urodynamically. Exclusion criteria included patients with diabetes mellitus, neurological disorders, other forms of incontinence, uterovaginal prolapse, urinary tract infection, and pregnancy. Out of 150 cases, 70 underwent TVT procedure and 80 were taken up for TOT. The outcome was studied at the end of 5 years. Results The cure rate in the TOT group was 94%, which was slightly higher than the TVT group, which came out to be 90%. The failure rate in the TVT group was 1.1%, but no failure was encountered in the TOT group. However, the improvement rates were similar in each group. Comparing the complications in each group, the rate of bladder perforation and postoperative retention of urine was much higher in the TVT group. Postoperative voiding difficulties were also noticeably less in TOT group compared with TVT group. However, none of the cases in either group had de novo urgency. Conclusion Both the procedures are a safe and effective method of curing stress incontinence; however, owing to slightly higher improvement rates and lower complications rate, TOT should be preferred over TVT. How to cite this article Bhadana P, Mittal P, Bachani S. Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up. J South Asian Feder Obst Gynae 2017;9(2):89-93.
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Aniulienė, Rosita. "Tension-free vaginal tape versus tension-free vaginal tape obturator (inside-outside) in the surgical treatment of female stress urinary incontinence." Medicina 45, no. 8 (August 9, 2009): 639. http://dx.doi.org/10.3390/medicina45080083.

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The objective of this study was to compare TVT (tension-free vaginal tape) and TVT-O (tension-free vaginal tape obturator from inside to outside) procedures for the female surgical treatment of stress urinary incontinence: results, complications, and effectiveness after 1 year. Material and methods. A prospective randomized study was carried out. The patients were followed up for 12 months. A total of 114 patients were operated on using TVT procedure and 150 patients – TVT-O procedure. There was no significant difference in age, body mass index, parity, menopausal status, and prolapse (no patients had cystocele greater than stage II) comparing both groups. Results. The mean time in surgery was significantly shorter in the TVT-O group (19±5.6 min) as compared with the TVT group (27±7.1 min). No differences in the effectiveness of both procedures were found: TVT – 94.6% and TVT-O – 94.6% after one year, respectively. Hospital stay was significantly shorter in the TVT-O group (1.5±0.5 days) than in the TVT group (4.0±1.6 days). Significantly fewer complications were observed in the TVT-O group. Conclusion. TVT and TVT-O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT-O group had shorter time in surgery and showed a lower rate of complications.
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Schätz, Tobias, Stephan Hruby, Daniela Colleselli, Günter Janetschek, and Lukas Lusuardi. "A severe complication of mid urethral tapes solved by laparoscopic tape removal and ureterocutaneostomy." Canadian Urological Association Journal 7, no. 9-10 (September 10, 2013): 598. http://dx.doi.org/10.5489/cuaj.393.

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Mid-urethral tapes are largely used to manage stress urinary incontinence(SUI). In certain cases, however, this procedure results in bothersome complications that lead to complete resection. We present the case of an 85-year-old woman who presented with ongoing suprapubic pain, hematuria, vaginal bleeding and recurrent urinary tract infections. The patient had undergone a tension-free vaginal tape (TVT) procedure in 1999 and a transobturator tape (TOT) placement in 2003 for SUI. Investigations revealed a urethral stone, erosion of both TOT and TVT and an urethra-vaginal fistula. Under local anesthesia the urethral stone was removed endoscopically and the TOT removed via a vaginal approach. Due to her comorbidity, she underwent a laparoscopic intraperitoneal removal of the TVT and a definitive ureterocutaneostomy to relieve her pain, inflammation and incontinence. This is the first ever presented case of erosion of mid-urethral tapes and incontinence treated with a laparoscopic resection of the tape and ureterocutaneostomy as definitive urinary diversion.
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Flock, F., F. Kohorst, R. Kreienberg, and A. Reich. "Ultrasound Assessment of Tension-Free Vaginal Tape (TVT)." Ultraschall in der Medizin - European Journal of Ultrasound 32, S 01 (November 15, 2010): 35–40. http://dx.doi.org/10.1055/s-0029-1245798.

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Stelea, Lavinia, Veronica Daniela Chiriac, Marius Craina, Izabella Petre, Zoran Popa, Brigitha Vlaicu, Daniela Iacob, et al. "Transvaginal Cystocele Repair Using Tension-free Polypropylene Mesh (Tension-free Vaginal Tape)." Materiale Plastice 55, no. 2 (June 30, 2018): 226–29. http://dx.doi.org/10.37358/mp.18.2.5000.

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Urinary incontinence is one of the most common diseases, 25% of women between 18 and 80 years suffer from it. Urinary incontinence can be described as accidently loss of small amounts of urine. The solution involves a surgical procedure, such as sling procedures and bladder neck suspension procedures. The methods of surgical interventions have evolved due to a minimum period of hospitalization (sling, TVT), or performing laparoscopic surgery instead of the classical Burch surgery. Studies reviled that the most effective interventions are those which restore the urethra by retro pubic urethropexy, pubovaginal sling and synthetic mid-urethral slings. This type of surgery has currently the highest success rate (85-90% on 5 years after surgery), and the lowest relapse rate. In our study we obtained the same success rate for the TVT procedure.
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Luo, Xiao, Li Xiao Wan, Hong Shen, Yin Xiu Xia, Chao Han Zhang, Yi De Luo, Yi Dai, and Jia Wang. "Pregnancy after tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator procedure." Urogynaecologia 25, no. 1 (December 28, 2011): 17. http://dx.doi.org/10.4081/uij.2011.e17.

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<em>Objective</em>. Treatment of anterior vaginal wall prolapse and stress urinary incontinence (SUI) with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) has been proved feasible, safe and effective. However, there is little known about the influence of pregnancy on women who have had such procedures before pregnancy. <em>Design and methods.</em> A 32-year-old woman (gravid 1, para 1) with two years history of SUI and nine months history of pelvic organ prolapse (POP) was treated with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant TVT-O. Her recovery was excellent, and she was pregnant eight months after the operation. <em>Results</em>. The patient went through her pregnancy smoothly with no special discomfort and successfully delivered an infant via caesarean section without recurrence of POP and SUI. Her last visit to our clinic about 14 months after caesarean section revealed that the anterior Prolift mesh and TVT-O mesh still remained intact and the position of the vaginal fornix, anterior and posterior walls and uterus also remained normal. <em>Conclusions</em>: Pelvic floor reconstruction with vaginal mesh (Prolift) may have positive significance for young patients who desire uterine preservation for future pregnancies. However, further studies are warranted to determine whether it can be used in pregnant women or women planning future pregnancies.
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Hadzi-Djokic, Jovan, J. Stoiljkovic, Dragoslav Basic, B. Basic, G. Petrovic, V. Colovic, and V. Stamenkovic. "Clinical and urodynamic outcomes of tension: Free vaginal tape procedure." Acta chirurgica Iugoslavica 51, no. 3 (2004): 57–60. http://dx.doi.org/10.2298/aci0403057h.

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The tension - free vaginal tape procedure (TVT) has been regarded as a safe, minimally invasive method for the treatment of female stress urinary incontinence. In a prospective multicenter study we evaluated safety and efficacy of TVT procedure for the treatment of female stress incontinence. From 1998. to 2003, a total of 42 patients, mean age 60 years (range 34-76) with urodynamically verified stress urinary incontinence underwent the TVT procedure. The mean follow-up period was 28 months (range 14 to 32). Intra- and postoperative complications were few, including bladder perforations (4.7%), vaginal hematoma (2.4%), complete urinary retention (2.4%), transient urinary retention (19%) and urinary tract infection (7.1%). Postoperatively, voiding time and functional urethral length significant increased. The subjective and objective cure rates were 85.7% and 90.5%, respectively. We conclude that the TVT procedure is associated with high cure rate and low morbidity.
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Dissertations / Theses on the topic "Tension free vaginal tape (TVT)"

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Weitzel, Annegret. "Tension Free Vaginal Tape (TVT)." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-76515.

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Czaja, Nicole [Verfasser]. "Subjektive und objektive Ergebnisse der TVT (Tension-free Vaginal Tape) in der Inkontinenzbehandlung / Nicole Czaja." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2008. http://d-nb.info/1022764411/34.

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Lord, Helen Elizabeth. "A randomised controlled equivalence trial comparing tension-free vaginal tape (TVT) with suprapubic urethral support sling (SPARC)." University of Western Australia. Faculty of Medicine and Dentistry and Health Sciences, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0086.

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[Truncated abstract] Approximately 35% of women worldwide have stress incontinence, which is defined as involuntary leakage of urine on effort, exertion, or on sneezing and coughing. There are various surgical techniques for stress incontinence; however, minimally invasive operations are increasingly being chosen by surgeons and their patients. Of these procedures, tension-free vaginal tape (TVT) has a cure rate of approximately 90% and is now perceived as the standard technique for stress incontinence. Reported complications of TVT include arterial laceration, bladder perforation, bowel perforation, de novo urgency, dyspareunia, excessive blood loss, haematoma, nerve injuries, urethral erosion, urge incontinence, urinary tract infection, vascular injury, vaginal mesh erosion, voiding dysfunction and death. Suprapubic urethral support sling (SPARC) is a very similar minimally invasive operation and early indications suggested that the success rate for treating stress incontinence was expected to be identical or better than those obtained with the earlier TVT approach, with possibly fewer adverse perioperative events. Our trial sought to establish equivalence between TVT and SPARC in relation to short-term complications and efficacy. OBJECTIVES The primary outcome was bladder perforation. Secondary outcomes were blood loss, voiding difficulty, urgency, and cure of stress incontinence symptoms. METHOD A randomised controlled one-sided equivalence trial (RCT) was conducted in Perth, Western Australia during 2003 and 2004 by researchers in the School of Population Health, University of Western Australia (UWA) and King Edward Memorial Hospital (KEMH). Patients were recruited from the public Urology/Urogynaecology Clinic at the primary women's hospital and the consultant surgeons' private practices. ... However, acute urinary retention requiring a return to theatre to loosen the tape (TVT 0%, SPARC 6.5%; OR: [infinity], 95% CL: 2.2, [infinity]; p=0.002) and subjective short-term cure (TVT 87.1%, SPARC 76.5%; OR: 2.07, 95% CL: 1.13, 3.81; p=0.03) were statistically significantly different. CONCLUSIONS The results are consistent with clinical equivalence between TVT and SPARC in relation to the incidence of bladder perforation. No statistically significant difference was found between TVT and SPARC in blood loss, urgency or short-term objective cure of stress incontinence at the six week post-discharge visit to the surgeon. However, the tapes were more difficult to adjust correctly in SPARC procedures and a statistically significant number of patients required a return to theatre for loosening of the tape (TVT 0/147, 0% and SPARC 10/154, 6.5%, p=0.002). Compared with SPARC, TVT was statistically significantly higher for subjective short-term cure. In ii relation to vaginal mesh erosion, TVT was lower than SPARC, though not statistically significantly. Overall, voiding difficulty (loosening of the tape), urgency and vaginal mesh erosion were the most important clinical problems. This randomised controlled trial demonstrates the importance of testing new devices which appear to be similar, but which may have clinically relevant differences. A follow up study to assess the long-term efficacy of tension-free vaginal tape and suprapubic urethral support sling and associated complications is planned.
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Brügel, Jacob [Verfasser], and Torsten [Akademischer Betreuer] Birkholz. "Retrospektive Vergleichsuntersuchung zu verschiedenen Anästhesieregimen bei der Anlage von tension-free-vaginal tapes (TVT) / Jacob Brügel. Gutachter: Torsten Birkholz." Erlangen : Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 2013. http://d-nb.info/1054165173/34.

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Molsner, Jochen. "Effektivitäts- und Kostenanalyse verschiedener Harninkontinenzoperationsverfahren in einem Krankenhaus mittlerer Grösse im Zeitraum von 1996 bis 2004 Vergleich von Kolposuspension tension free vaginal tape (TVT), suprapubic arc sling (Sparc), transobturator subfacial hammock (Monarc) /." [S.l.] : [s.n.], 2005. http://deposit.ddb.de/cgi-bin/dokserv?idn=975038486.

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Molsner, Jochen. "Effektivitäts- und Kostenanalyse verschiedener Harninkontinenzoperationsverfahren in einem Krankenhaus mittlerer Größe im Zeitraum von 1996 bis 2004 Vergleich von Kolposuspension, Tension Free Vaginal Tape (TVT TM), Suprapubic Arc Sling (Sparc TM), Transobturator Subfascial Hammock (Monarc TM) /." [S.l. : s.n.], 2005. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB11811179.

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Renner, Stephanie. "Langzeitstudie zum Outcome nach tension-free vaginal tape - klinische Beurteilung einer minimal invasiven Operationsmethode zur Behebung der weiblichen Stressharninkontinenz." Diss., lmu, 2010. http://nbn-resolving.de/urn:nbn:de:bvb:19-124621.

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Pedroletti, Corinne. "Tension-free Vaginal Tape at a Medium Sized Hospital in Sweden short- and Long-term Results in Different Patient Groups /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [distributör], 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-121550.

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Duckett, Jonathan R. A. "Why does detrusor overactivity and symptoms of the overactive bladder (OAB) get better after the tension free vaginal tape operation?" Thesis, Imperial College London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.538688.

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Valpas, A. (Antti). "Evaluation of laparoscopic colposuspension and the tension-free vaginal tape procedure in the surgical treatment of female stress urinary incontinence." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514278275.

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Abstract Though not a life threatening condition, involuntary loss of urine is a miserable situation. It has a multidimensional effect on the afflicted individuals, both men and women – and for the society. The purpose of this study was to evaluate two modern, minimally invasive surgical techniques for the treatment of female stress urinary incontinence (SUI). The techniques evaluated were laparoscopic colposuspension with mesh and staples (LCM) and the tension-free vaginal tape procedure (TVT). The study consisted of four parts. The first part (Study I) was an observational retrospective follow-up study. Data on the first forty patients operated on with LCM at Oulu University Hospital were collected. Patients had SUI or mixed urinary incontinence (MUI) with predominantly stress incontinence. The Studies II–IV were parts of a randomized, multicenter clinical trial, where LCM was compared with TVT. According to the predefined inclusion criteria 128 SUI women were randomly allocated into two treatment groups: 70 patients received TVT treatment as allocated and 51 LCM. There were seven drop-outs after randomization. After one year of follow-up the cure and improvement rate of the patients operated with LCM were ~ 90%. Also a significant improvement was found in Urinary Incontinence Severity Scores (UISS). At base line the score was 12.1 and after one year follow-up 2.7 (p < 0.001). The bladder perforation rate was 15%. In Study II immediate cure rates and complications of LCM and TVT were studied. After six weeks of follow-up there was no difference in cure rates (~ 90%) between the procedures. There was no difference in complication rates. A significant difference was found in the use of anti-inflammatory / opioid drugs in the immediate post-operative period to relief the pain in favour for TVT. Hospital care was also significantly shorter after TVT than LCM. After one year of follow-up (Study III) TVT was found to give better result both objectively and subjectively. Negative stress test result was recorded in 85.7% in the TVT group and 56.9% in the LCM group. A significant difference was also found, when Visual Analoque Scale (VAS), King's College Health Questionnaire (KHQ) and UISS were used as outcome measures, in the favour of TVT. When 48-hour pad test was used as outcome measure there was no statistically significant difference between the groups. The cost-effectiveness (Study IV) of TVT was found to be better than that of LCM after one year of follow-up. In conclusion, the results of this study suggest, that TVT procedure is on the whole a cost-effective alternative for LCM in the treatment of female SUI.
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Books on the topic "Tension free vaginal tape (TVT)"

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National Institute for Clinical Excellence. Guidance on the use of tension-free vaginal tape (Gynecare TVT) for stress incontinence. London: National Institute for Clinical Excellence, 2003.

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June, Cody, Health Technology Assessment Programme, and National Co-ordinating Centre for HTA (Great Britain), eds. Systematic review of the clinical effectiveness and cost-effectiveness of tension-free vaginal tape for treatment of urinary stress incontinence. Tunbridge Wells: Gray Publishing, on behalf of the NCCHTA, 2003.

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Saddler, John. Gynaecological surgery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198719410.003.0025.

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This chapter discusses the anaesthetic management of gynaecological surgery. It begins with a discussion of general principles. Surgical topics covered include hysteroscopic procedures, evacuation of retained products of conception, suction termination of pregnancy, laparoscopy, sterilization, tension-free vaginal tape, hysterectomy (vaginal and abdominal), and ectopic pregnancy. It concludes with a series of vignettes about minor gynaecological procedures.
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Book chapters on the topic "Tension free vaginal tape (TVT)"

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Kirschbaum, M. "Welchen Platz hat das TVT (Tension-free Vaginal Tape) in der Therapie der Streßharninkontinenz?" In Gießener Gynäkologische Fortbildung 1999, 116–21. Berlin, Heidelberg: Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-642-59634-6_17.

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Ulmsten, Ulf. "Tension-free Vaginal Tape." In Female Pelvic Reconstructive Surgery, 121–26. London: Springer London, 2003. http://dx.doi.org/10.1007/978-1-4471-0659-3_8.

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Bolton, Helen, and Mark Slack. "Mesh Tape Exposure Following Tension-free Vaginal Tape." In Gynecologic and Obstetric Surgery, 356–59. Oxford, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118298565.ch119.

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Gurudas, Girija. "Chapter-11 Stress Incontinence�Tension Free Vaginal Tape Obturator (tvt-o) System Innovative Surgery." In Gynae-Urology�Update, 154–60. Jaypee Brothers Medical Publishers (P) Ltd, 2008. http://dx.doi.org/10.5005/jp/books/11976_11.

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Moore, Robert, and John Miklos. "Tension Free Vaginal Tape and TOT Sling for Stress Urinary Incontinence." In A Practical Manual of Laparoscopy and Minimally Invasive Gynecology, 287–94. CRC Press, 2007. http://dx.doi.org/10.3109/9781439804315-24.

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Moore, Robert, and John Mikos. "Tension Free Vaginal Tape and TOT Sling for Stress Urinary Incontinence." In A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques, 287–94. CRC Press, 2004. http://dx.doi.org/10.3109/9780203640395-24.

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Pal, Manidip. "Tension Free Vaginal Tape." In Urogynecology and Pelvic Reconstructive Surgery, 182. Jaypee Brothers Medical Publishers (P) Ltd., 2016. http://dx.doi.org/10.5005/jp/books/12783_31.

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Klutke, John J., and Carl G. Klutke. "TENSION-FREE VAGINAL TAPE." In Female Urology, 415–20. Elsevier, 2008. http://dx.doi.org/10.1016/b978-1-4160-2339-5.50088-4.

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Lucente, Vincent, and Marisa Mastropietro. "Tension-Free Vaginal Tape." In Female Urology, Urogynecology, and Voiding Dysfunction, 399–416. CRC Press, 2004. http://dx.doi.org/10.1201/b14154-28.

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"1.6.3 Tension free Vaginal Tape." In SOPs in Anästhesiologie und Schmerztherapie, edited by Claudia Spies, Marc Kastrup, Thoralf Kerner, Christoph Melzer-Gartzke, Hendrik Zielke, and Wolfgang J. Kox. Stuttgart: Georg Thieme Verlag, 2013. http://dx.doi.org/10.1055/b-0034-57983.

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