Simon Zeinstra has found the solution!
But, I used Visual Studio community 2015 and I didn't even have to use schema compare.
Using SQL Server Object Explorer, I found my user-defined table type in the DB. I right-mouse clicked on the table-type and selected . This opened a code tab in the IDE with the TSQL code visible and editable. I simply changed the definition (in my case just increased the size of an nvarchar field) and clicked the Update Database button in the top-left of the tab.
Hey Presto! - a quick check in SSMS and the udtt definition has been modified.
Brilliant - thanks Simon.