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Transvaginal or Transobturator Taping (TVT, TOT) is an operation to treat stress urinary incontinence. Stress incontinence is leakage of urine that occurs with activities which cause an increase in abdominal pressure such as coughing, sneezing, jumping, lifting, exercising and in some cases walking.

 

This leakage occurs because the muscles at the bladder neck have lost their supports and strength. As a valve mechanism, the urethra (waterpipe) no longer stays closed when extra pressure is put on the bladder.

 

TVT & TOT sling are minimally-invasive operations requiring three small incisions to insert and position the tape. 

 

TVT OR TOT OPERATION

In both operations, TOT and TVT, a nylon mesh tape is placed underneath the urethra (the tube which allows urine to empty from your bladder). The tape will act like a hammock to support the urethra. The body makes scar tissue that grows into the mesh of the tape so helping it to stay in place. This scar tissue together with the tape give additional support to the urethra, making it less likely that you will leak urine. In TOT the tape is passed sideways through a natural space in your hip bone called the obturator foramen (window). The ends of the tape are brought to the surface through two tiny cuts just to the side of the lips of the vagina close to the groin creases.

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