Transobturator Tape
What is Transobturator Tape
Transobturator Tape (TOT) is a minimally invasive surgical procedure designed to treat stress urinary incontinence (SUI) in women. SUI occurs when weakened pelvic floor muscles cause involuntary urine leakage during activities such as coughing, sneezing, laughing, or exercising. The TOT procedure provides support to the urethra, reducing or eliminating leakage.
Who needs the TOT procedure?
The TOT procedure is recommended for women who experience moderate to severe stress urinary incontinence that has not improved with lifestyle changes or pelvic floor exercises. It is commonly suggested for:
- Women experiencing urine leakage with physical exertion: Activities like exercising, lifting heavy objects, sneezing, or even laughing can lead to involuntary urine loss.
- Those who have weakened pelvic floor muscles: Childbirth, aging, menopause, or conditions like obesity can weaken the pelvic floor, reducing bladder control.
- Patients who have not found relief from non-surgical treatments: When methods like Kegel exercises, bladder training, or medication fail to provide adequate improvement, TOT surgery becomes a viable option.
- Women seeking a long-term solution: Unlike temporary interventions, TOT offers durable relief with minimal maintenance post-surgery.
Benefits of the Transobturator Tape (TOT) procedure
- Minimally Invasive: The procedure requires only small incisions, leading to reduced post-operative pain, minimal scarring, and a lower risk of complications compared to traditional surgeries.
- High success rate: Clinical studies have shown that the TOT procedure significantly improves or completely resolves stress urinary incontinence in a majority of women.
- Short recovery time: Most patients can resume light daily activities within a few days and return to normal routines within 2-3 weeks.
- Long-lasting results: The TOT procedure provides durable support to the urethra, ensuring long-term relief from urinary incontinence.
- Reduced risk of bladder injury: Compared to other sling procedures, the TOT approach minimizes the risk of accidental bladder perforation during surgery.
- Improved quality of life: Women who undergo TOT surgery often report increased confidence, reduced anxiety about leakage, and improved social and physical activities.
How does the Transobturator Tape (TOT) procedure work?
During the TOT procedure:
- Anesthesia: Local, spinal, or general anesthesia is administered, depending on the patient’s condition and preference.
- Incisions: Two small incisions are made inside the vaginal wall and two on both inner thighs near the groin. These incisions are minimal and heal quickly.
- Tape placement: A specially designed synthetic mesh tape is inserted under the urethra, passing through the obturator foramen (a part of the pelvic bone) in a hammock-like fashion. This tape provides gentle yet firm support to the urethra, reducing involuntary urine leakage.
- Adjustment & Positioning: The surgeon ensures that the tape is positioned correctly without excessive tension. This ensures effectiveness while preventing post-surgery discomfort.
- Healing & Recovery: Over time, the body integrates the tape, providing long-term reinforcement to the pelvic floor. Most women notice improvement within a few days, with complete recovery in a few weeks.
Risks of TOT procedure
While TOT is generally safe, some potential risks include:
- Temporary discomfort or pain.
- Urinary tract infections (UTIs)
- Difficulty emptying the bladder completely.
- Tape erosion (rare).
- Groin pain (usually temporary).
Your doctor will discuss these risks with you and determine if the TOT procedure is the right choice for your condition.
Recovery & Post-procedure care
- Avoid heavy lifting and strenuous activities for at least 4-6 weeks.
- Drink plenty of water to prevent urinary tract infections.
- Avoid sexual intercourse for about 4-6 weeks to allow proper healing.
- Follow up with your doctor to monitor healing progress.
Alternatives to TOT surgery
If TOT is not suitable for you, other treatment options include:
- Pelvic floor therapy: Strengthening exercises to improve bladder control.
- Pessary devices: Vaginal devices that provide support to the urethra.
- Other sling procedures: Different surgical approaches like Retropubic (TVT) or Mini Sling.
Why choose Aagman for Transobturator Tape (TOT) Procedure in Palanpur?
At Aagman Women’s Hospital, we are dedicated to providing expert care for women dealing with stress urinary incontinence. Here’s why you should consider us for your TOT procedure:
Experienced specialists
Our team, led by Dr. Khanjan Maheshwari & Dr. Krupa Maheshwari, has performed X+ successful TOT surgeries, ensuring expertise and precision.
State-of-the-art facilities
Our hospital is equipped with modern operation theaters and advanced diagnostic tools, providing a safe and efficient surgical experience.
Personalized care
Each patient receives a customized treatment plan based on their unique needs and medical history, ensuring the best possible outcome.
Comprehensive support
We provide 24/7 post-operative support and follow-ups, ensuring a smooth and comfortable recovery journey.
High success rates
Our hospital boasts a X%+ success rate in treating stress urinary incontinence, helping women regain confidence in their daily lives.
Patient-centric approach
We prioritize patient education, comfort, and satisfaction, ensuring that every woman feels informed and supported throughout her treatment journey.
At Aagman Women’s Hospital, we are committed to providing advanced and compassionate care for women facing stress urinary incontinence. Our expert team and state-of-the-art technology ensure a safe and effective TOT procedure with high success rates.
📍 Located in Palanpur, Gujarat, we offer a minimally invasive solution to restore bladder control and improve your quality of life.
💖 Take the first step towards confidence and comfort—Book your consultation today!
Read real stories from patients who trusted Aagman Women’s Hospital
Watch real stories from patients who trusted Aagman Women’s Hospital
FAQs
Yes, our hospital has highly experienced specialists, including Dr. Khanjan Maheshwari & Dr. Krupa Maheshwari, who have successfully performed over X+ TOT surgeries.
The procedure can be performed under local, spinal, or general anesthesia, depending on the patient’s medical condition and preference.
The TOT procedure is typically a day-care surgery, meaning most patients can return home on the same day after a short recovery period.
We offer 24/7 post-surgery support, follow-up consultations, and personalized recovery plans to ensure a smooth healing process.
Coverage depends on your insurance provider and policy. Our team can assist you with verifying insurance eligibility and claim procedures.
Your doctor will provide specific guidelines, including fasting instructions, medications to stop or adjust, and pre-surgery tests to ensure a smooth procedure.
You can schedule a follow-up visit by calling our hospital or booking an appointment online through our website.
Avoid heavy lifting, strenuous exercise, and sexual activity for at least 4-6 weeks to allow proper healing.
The TOT procedure is usually performed as a day-care surgery, meaning patients can go home the same day. However, if needed, inpatient care is available.