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Trans Obtutrator Tape (TOT)

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.