TENSION FREE VAGINAL TAPE TVT has been designed from non reactive synthetic material Procedure: After exposing the region of the bladder neck on vaginal dissection, the hammock of the tape is placed underneath it to provide suppo, at the mid urethral level, the lateral extensions are brought out paraurethrally on to the skin at the level of pubic symphisis and the vaginal incision is closed. After adjusting the proper elevation of the bladder neck region the extra length of the lateral arms of the tape is cut out. Success rate of 88-90% is claimed at the end of 3 years. Ref: SHAW&;S TEXTBOOK OF GYNAECOLOGY; 15th edition; Pg no: 194