OVERVIEW

The placement of a transobturator (TOT) tape is very effective for the treatment of stress urinary incontinence in women.

 

The reasons for placing a transobturator tape are:

  • Leakage of urine when coughing, laughing, sneezing or straining.
  • Use 2 or more pads/diapers a day
  • Lack of response to oral treatment

TOT placement benefits

The TOT supports the urethra so it can decrease or even eliminate urinary incontinence, by doing so, improves the quality of life of the patient.

This procedure is minimally invasive, so the patient recovers faster than conventional surgery and the pain is minimal.

Risks and complications

In addition to the possible general complications of any surgery (hemorrhage, damage to nearby organs, etc.) during surgery, bladder perforation may occur; when this happens, a Foley catheter is left for several days and the bladder can heal completely.

Another risk is urinary retention after surgery, this complication rarely occurs and can be treated with medications or catheterization.

Alternatives to the placement of the transobturator tape

Other treatments for urinary incontinence include:

  • Pills: When incontinence is mild and does not affect the quality of life of the patient
  • Laparoscopic Burch’s colposuspension

What to expect from transobturator tape placement surgery

Day of surgery:

You will arrive at the hospital the same day of surgery on an empty stomach.

The surgery takes approximately 1 to 2 hours; however, this time is variable.

Anesthesia for this procedure is a spinal block (on the back) and sedation so you won’t feel pain and you’ll be relaxed during your procedure.

Pain after transobturator tape placement is minimal and can be effectively controlled with intravenous analgesics.

Food: you can eat in the afternoon after the surgery, there are no dietary restrictions, however, a balanced diet is recommended.

Physical activity: you can walk the same day after surgery. It is normal to feel a little tired after any surgery, that problem resolves spontaneously a few weeks after transobturator tape placement.

Hospital stay: most patients undergoing transobturator tape placement remain hospitalized for 24 to 48 hours.

Wounds: Laparoscopic adrenalectomy requires 3 small incisions in the back (each 1 cm or less), once they are completely healed, these scars can rarely be seen.

Wounds: To place a transobturator tape, an incision of 2.5 cm is made inside the vagina and two incisions, one in each groin of 0.5 cm, once they are completely healed, these scars can rarely be seen.

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