CaRi-heart technology
Revolutionary new technology to assess the risk of a serious heart condition or heart attack – many years before anything happens.
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.
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.
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.
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) consultants
Mr Rajesh Nair
Urology
Mr Nicholas Faure Walker
Urology
Mr Christopher Ogden
Urology
Mr Tamer El-Husseiny
Urology
Our Trans Obutrator Tape (TOT) locations
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
The Lister Hospital
Chelsea Bridge Road, SW1W 8RH London
The Shard Outpatients
The Shard, 32 St Thomas Street SE1 9BS London
London Bridge Hospital
27 Tooley Street SE1 2PR London
The Wellington Hospital
8A Wellington Place NW8 9LE London
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
David's gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.