Memorial Hermann-Texas Medical Center
Urology and Continence Center
Minimally Invasive Surgery
Other Procedures
Minimally Invasive Surgeries for Urinary Incontinence and Pelvic Floor Disorders
Memorial Hermann-TMC offers a comprehensive array of leading-edge minimally invasive treatments for incontinence. The procedures are done on an outpatient basis, and patients can usually go home the same day. Most procedures take approximately 20-30 minutes and involve minimal surgical risk. Our cure rates are as high as 95 percent.
Transobturator Tape Placement
Less invasive than TVT, transobturator tape (TOT) placement reproduces the natural position of the pubourethral ligament. Two tiny incisions are made on the inner side of the thighs to allow for insertion of the tape. TOT provides hammock-like support for the urethra and minimizes the risk of overcorrection.
Tension-Free Vaginal Tape (TVT) Placement
TVT placement, an older procedure, corrects stress incontinence and intrinsic sphincter defect by placing a mesh-like material under the urethra as a permanent sling. The TVT is inserted through a small vaginal incision. Patients usually return home the same day or, in some cases, stay overnight for pain control.
Pre-Pubic Sling Placement
Pre-public sling placement offers women with mild stress incontinence another treatment option. By positioning the supportive sling in front of the pubic bone, pre-pubic sling placement minimizes the risk of injury to internal organs during surgery.
Supra Pubic Arc (SPARC)
Similar to TVT in its anatomic approach, the SPARC™ system is designed to provide a safe and simpler option for the placement of a sling. Thin curved needles are inserted through two tiny incisions above the pubic bone and advanced to a vaginal incision below the urethra. The sling tension can also be adjusted to provide support to the urethra.
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