Trans obutrator tape


A safe and effective alternative to TVT for treating female urinary stress incontinence


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 tummy (lower abdomen). For the short and medium term it is as safe and effective as TVT.

Need to know

  • What happens icon plus

    During this procedure the trans obturator tape is inserted through three small cuts; 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.
  • How to prepare icon plus

    Your consultant will tell you how best to prepare for this procedure.
  • Afterwards icon plus

    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.

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