GYNECARE TVT ABBREVO™ Continence System

1.Heliical Passer Sheaths†
    Closed tip provides smooth tissue passage¹
2.Plastic Mesh Sheath†
    Smooth edges facilitate removal after mesh placement¹
3.Positioning Lines
    Removable non-absorbable PROLENE™ Polypropylene Suture lines help place mesh and allow
    for precise mesh adjustment¹
4.Hellical Passers†
    Designed to use anatomical landmarks for a predictable and reproducible passage
5.Placement Loop
    Provides a visual aid to help center the mesh (removed once mesh is in place)¹
6.Less Mesh
    Just 12 cm of PROLENE mesh‡ implanted to provide proper tension-free bilateral support¹
7.Winged Guide with Insertion Zone
    Winged Guide facilitates correct needle trajectory to avoid bladder and urethral injuries, while the Insertion Zone
    provides a visual aid to avoid premature obturator membrane perforation¹

†Same features as GYNECARE TVT™ Obturator System Tension-free Support for Incontinence
‡Same type of mesh used in GYNECARE TVT™ Obturator System Tension-free Support for Incontinence

For complete indications, contraindications, warnings, precautions, and adverse reactions, click Prescribing Information.

Reference:
1. Data on File, Ethicon, Inc.

Same efficacy with less mesh²

In a randomized, controlled trial, a modified obturator procedure with a shorter mesh, which is similar to GYNECARE TVT
ABBREVO™, delivered the same consistent efficacy as GYNECARE TVT™ Obturator System Tension-free Support
for Incontinence*²

*Demonstrated in a 12-month, single-center randomized, single-blinded prospective trial of 175 women suffering from SUI. They were randomized to GYNECARE TVT™ Obturator System or a version modified to use a shorter mesh and less dissection. Evaluation included urinary symptoms and QoL questionnaires. Primary outcome measure was the disappearance of subjective and objective SUI at one year. Secondary outcome measures included complication rates and severity of postoperative groin pain assessed using a visual analog scale.
 

Significantly less post-operative pain*

• 36% fewer patients experienced groin pain immediately after surgery as seen in the Modified
  GYNECARE TVT™ Obturator System group§²
• Significantly lower incidence and intensity of groin pain on day 0 and day 1 as seen in the Modified
  GYNECARE TVT™ Obturator System group§²
• No severe groin pain was reported in either group at 1 year||²

§Pain was assessed using a visual analog scale (VAS) graded from 0 to 10; 0 corresponds to absence of pain, 10 corresponds to the worst
pain. ||Severe groin pain was defined as VAS≥5. The patients that reported groin pain at 1 year had VAS scores ≤3 in all cases.

Proven, reproducible, and safe, inside-out procedure

1. Procedure starts at a well-defined point at the urethra3		2. Uses a winged guide for accurate device introduction and passage¹		3. Safe and accurate needle passage helps to avoid critical structures¹

References
1. Data on file. Ethicon, Inc.
2. De Leval J, Thomas A, Waltregny D. Clinical comparison between the original and a modified version of the inside-out transobturator (TVT-O)
    procedure for the treatment of female stress urinary incontinence: One-year results of a prospective randomized trial.
    DOI: 10.1007/s00192-010-1264-4 Int Urogynecol J. 2010.
3. GYNECARE TVT ABBREVO™ Continence System Instructions for Use. Somerville, NJ: Ethicon, Inc; 2010.

You can review the information avaliable for patients
by clicking on the individual items in the carousel below

If you would like additional copies for your practice, please contact your
Ethicon Gynecare Sales Representative: 1-888-496-3227

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The Web site www.PelvicHealthSolutions.com is a comprehensive resource for patients to learn about common pelvic health conditions. This site features information about conditions, treatment options, a symptom assessment tool and find-a-physician locator.