Tension-Free Vaginal Tape for Stress Incontinence in Women
Stress incontinence in women can cause frequent involuntary release of urine during activities that put pressure on your bladder, such as coughing or laughing. The tension-free vaginal tape (TVT) procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra will remain closed with no accidental release of urine.
In TVT surgery, a mesh tape is placed under your urethra like a sling or hammock to keep it in its normal position. The tape is inserted through two tiny incisions in your abdomen and in vaginal wall. No sutures are required to hold the tape in place. TVT surgery takes about 30 minutes.
Trans-obturator Tape (TOT)
What is the TOT Procedure?
The TOT Procedure provides support to the bladder by placing a synthetic mesh (which acts as a sling) under the mid-portion of the bladder neck (urethra) through a small incision in the vagina. The mesh is then passed into a tunnel created around each side of the bladder neck and out through the thigh fold through two small skin incisions. The surgery is performed through the vagina. This is an outpatient procedure and can be done under spinal anesthesia.
Benefits of the surgery :
What are the benefits of this surgery? When the muscles and tissues in your pelvis are not strong enough to support the bladder it can lead to urinary incontinence (leaking). This procedure “slings” the bladder back into position and in so doing, stops the leaking.