We use cookies to so our web site can function correctly. By Clicking "OK" or by clicking into any content on this site, you agree to allow cookies to be placed. To find out more visit the cookies section of our privacy policy.

Privacy Statement

A cookie is a small file which asks permission to be placed on your computer's hard drive. Once you agree, the file is added and the cookie helps analyse web traffic or lets you know when you visit a particular site. Cookies allow web applications to respond to you as an individual. The web application can tailor its operations to your needs, likes and dislikes by gathering and remembering information about your preferences.

We use traffic log cookies to identify which pages are being used. This helps us analyse data about web page traffic and improve our website in order to tailor it to customer needs. We only use this information for statistical analysis purposes.

Overall, cookies help us provide you with a better website, by enabling us to monitor which pages you find useful and which you do not. A cookie in no way gives us access to your computer or any information about you, other than the data you choose to share with us.

Cookie group mandatory

(Req)
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

These cookies are required

Functional

These cookies allow us to adtertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only

Marketing

These cookies allow us to advertise our products to you and allow us to pass this information on to our trusted third parties so that they can advertise our products to you on our behalf
All information these cookies collect is aggregated and therefore anonymous. No personal inforation is shared to third parties. Any personal information collected while using our website could be used for direct marketing from HCA only

Performance Cookies

These cookies allow us to know which pages are the most and least popular and see how visitors move around the site.  All information collect is annonomas unless you provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.

Trans obutrator tape

TOT

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

About

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.
Consultant in theatres

Our consultants

We're proud to work with leading experts across a range of medical fields, whose skills are matched by their integrity and compassion.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 3131 7216
    Enquiries 020 3130 6833

  • Wellington-south-hero-facility-582-582

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 0207 483 5148
    Enquiries 020 3131 7478

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

  • The Lister Hospital Facility

    The Lister Hospital

    Chelsea Bridge Road

    London

    SW1W 8RH

    Appointments 020 7811 4000
    Enquiries 020 3131 4978

  • The Portland Hospital Facility

    The Portland Hospital

    205 - 209 Great Portland Street

    London

    W1W 5AH

    Children's enquiries 020 7390 8020
    Maternity enquiries 020 7390 6068
    Gynaecology enquiries 020 7390 6200

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

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