|October 2004 · Vol. 16, No. 10
UPDATE on PELVIC FLOOR SURGERY
• New sling procedures
• Correcting site-specific defects
• Mesh augmentation
The TVT procedure can be performed in under 30 minutes with minimal complications.
The transobturator approach should reduce injuries to bowel, bladder, and major blood vessels.
Director, Division of Urogynecology, Brigham and Women’s Hospital,
Assistant Professor, Harvard Medical School, Boston, Mass,
and Board of Editors member, OBG Management.
After several decades of slow progress, the field of urogynecology is experiencing dynamic change, including:
These developments are some of the most important since Kelly and Dunn first described suburethral fascial plication for stress incontinence and cystocele in 1914.1 They have come about through increased understanding of the pathophysiology of incontinence and prolapse, innovative technology and techniques, and improved communication and coordination among physicians worldwide.