Urinary incontinence reconstruction mesh sensiTVT

vaginal approachwomen

The revolution in female sling surgery A small design change can make a big difference sensiTVT / sensiTVT-A – Adapts intra-operatively to patient’s anatomy Traditional sling: Tunnellers leave a smaller diameter tunnel in which cause traditional slings to fold! Nerves in the area may be compromised, potentially leading to so called “idiopathic sling failures” with symptoms such as discomfort, pain, voiding difficulties or de novo urge incontinence. sensiTVT sensiTVT/sensiTVT-A adapts to the urethra due to passively articulating joints. It allows a parallel, flat mesh placement below and beside the urethra. This avoids overpressure zones caused by traditional slings because of the curled or twisted sling edges. Twisted sensiTVT/sensiTVT-A – shows no effect below and beside the urethra Pelvic floor ultrasound image in frontal plane B II – S – sensiTVT “buffer area” (two white points) Pelvic floor ultrasound image in sagittal plane – sensiTVT/sensiTVT-A in optimal position. Good distance, flat and parallel, below the urethra Ultrasound image in axial plane – sensiTVT in symmetric position Adjustability: sensiTVT-A is equipped with two groups of integrated sutures, which are left outside the skin following surgery, enabling optimal adjustment up to five days post-operatively. sensiTVT-A is especially indicated for patients after failed previous surgery, e.g. patients with low urethral mobility, patients with intrinsic sphincter deficiency (ISD) or obese patients. Ultrasound imaging: Dr. med. dr hab. J. Kociszewski, Hagen, Germany