Trans Obutrator Tape (TOT)

An Alternative to TVT

A safe and effective for treating female urinary stress incontinence

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

  • What happens during surgery? icon plus

    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.
  • How to prepare icon plus

    Your consultant will tell you how best to prepare for this procedure.
  • After surgery 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.

Our gynaecology consultants

We're proud to work with leading women's health experts, specialising in bladder, flow and urinary incontinence, whose skills are matched by their integrity and compassion.

Our locations

From complex gynaecology surgery to diagnostic tests, scans and minor procedures, we provide exceptional gynaecological care across our network of hospitals, outpatient centres and specialist clinics.

Book an appointment with a gynaecologist

Our team can help book a consultation with a gynaecologist in one of our HCA UK facilities in London, Birmingham or Manchester by phone or by completing our appointment request form. 

Call us on

020 7079 4344
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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