What does TVT stand for in the context of midurethral slings?

• A. Tensioned vaginal tape
• B. Transobturator vaginal tape
• C. Tension-free vaginal tape with a knot
• D. Tension-free vaginal tape

Answer: (D)

The concept tested is understanding sling terminology. TVT stands for tension-free vaginal tape, describing a midurethral sling placed under the urethra with no intentional tension on the urethra itself. This “tension-free” approach relies on the tape’s position and surrounding tissue for support, reducing the risk of obstruction or voiding problems that can come from pulling or tensioning the urethra. The other descriptions don’t fit: a tensioned tape would exert force on the urethra; a transobturator vaginal tape is a different sling route (TOT); and a knot on the tape isn’t part of the standard TVT design.