- Trans-Urethral Resection of the Prostate
- Robotic Assisted Prostatectomy
- Open Radical Prostatectomy
- Drug Treatment for BHP
- Transurethral Incision of the prostate
- Open Prostatectomy
- Trans-Urethral Resection of Bladder Tumour
- BCG treatment
- Electrical stimulation of the pelvic floor
- Injections for OAB
- Sacral Nerve Stimulation
- Bladder Augmentation
- Suprapubic Catheter
- Tension-free vaginal tape (TVT)
- Trans Obtutrator Tape (TOT)
- Urinary Diversion
- Vaginal Mesh Support
- Percutaneous Nephrolithotomy (PCNL)
- Genitourinary medicine
- Sexual health
Trans Obtutrator Tape (TOT)
The Trans Obturator Tape (TOT) procedure is similar to a Tension Free Vaginal Tape (TVT) procedure. It may be easier or safer to do than TVT in some patients, as the tape is further away from the bladder and the lower abdomen (tummy). In the short and medium term however, it seems to be as safe and as effective as TVT.
The TOT tape is inserted through 3 small cuts, one in the vagina, and one in each side of the upper inner thigh. A cystoscope (a small telescope) is sometimes inserted into your bladder to check for abnormalities and to ensure that your bladder and urethra have not been injured.
This approach is often used when urgency if more of a problem than stress leakage.