Trans Obutrator Tape (TOT)

AN ALTERNATIVE TO TVT


A safe and effective for treating female urinary stress incontinence

Enquiries & Appointments

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What's the difference between TOT and TVT?

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. For the short and medium term it is as safe and effective as TVT.

Need to know

During this procedure the trans obturator tape is inserted through three small incisions; one in the vagina and one in each side of the upper inner thigh.

A cystoscope (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 (the need to urinate) is more of a problem than stress leakage.
Your consultant will tell you how best to prepare for this procedure.
You may have some pain and discomfort after your surgery. Our recovery team will give you regular pain relief medication to reduce this.

Depending on your bladder function you may be required to stay in hospital overnight. If you had a catheter inserted into your bladder (to drain the urine) or a vaginal pack (dressing) in your vagina it will be removed the next day following surgery.

If you do not have a catheter, you will be encouraged to pass urine and the nursing team will check that you are able to empty your bladder.

Our Trans Obutrator Tape (TOT) locations

The Lister Hospital

The Lister Hospital

Chelsea Bridge Road, SW1W 8RH London
The Wellington Hospital

The Wellington Hospital

8A Wellington Place NW8 9LE London
London Bridge Hospital

London Bridge Hospital

27 Tooley Street SE1 2PR London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.