The TVT sling is a transvaginal mesh implant and is considered the standard of care for stress urinary incontinence surgery, however mesh complications such as mesh exposure, mesh extrusion, mesh erosion, painful intercourse or vaginal pain can occur. It is very important to note that it typically is NOT the mesh itself or the procedure that is the cause of the complication, it is how the mesh is placed or how the body heals around the mesh that is the underlying cause. For example, if a patient is a smoker, her tissue is not as well vascularized as a non-smoker and therefore she is at higher risk of the incision not healing well and then a mesh extrusion occurs. This is NOT the mesh’s fault and this patient is a high risk of complications with ANY surgery, whether mesh was used or not. Studies have shown that the TVT sling has HIGHER cure rates than traditional surgery for incontinence (ie the Burch or MMK) with LOWER complication rates. TVT sling was the first sling of this type on the market and now many other companies have similar products such as the SPARC procedure (American Medical Systems) and others by Bard Urology, Boston Scientific, etc. These midurethral retropubic slings are all transvaginal mesh implants and each have the propensity to be associated with a mesh complication.