TOT
TOT (Transobturator Tape) surgery is a minimally invasive procedure used to treat stress urinary incontinence (SUI) in women
overview
TOT (Transobturator Tape) surgery is a condition where urine leaks during activities like coughing, laughing, sneezing, or exercising. SUI occurs when the pelvic floor muscles and tissues supporting the urethra become weak, often due to childbirth, aging, or hormonal changes.
In TOT surgery, a narrow synthetic mesh tape is placed under the urethra to support it like a hammock. This tape prevents urine leakage by providing extra support during physical strain. The procedure is performed through small incisions in the vaginal wall and groin area, passing the tape through the obturator foramen (part of the pelvic bone), hence the name "transobturator."
Symptoms & Diagnosis
TOT is typically done under local, spinal, or general anesthesia and takes about 20–30 minutes. It is a day-care or short-stay procedure, and most women return to normal activities within a few days.This technique offers a high success rate and fewer complications compared to older methods. TOT avoids entering the abdominal cavity, which lowers the risk of bladder or bowel injury.
Advantages of TOT Surgery:
- Minimally invasive with small incisions
- Short procedure time (20–30 minutes)
- Quick recovery and minimal hospital stay
- High success rate in treating stress urinary incontinence
- Less risk of bladder, bowel, or nerve injury compared to other sling techniques
- Suitable for women who do not want major surgery