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) locations
London Bridge Hospital
27 Tooley Street SE1 2PR London
The Harborne Hospital
Mindelsohn Way B15 2TQ Birmingham
The Lister Hospital
Chelsea Bridge Road SW1W 8RH London
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
The Shard Outpatients
The Shard 32 St Thomas Street SE1 9BS London
The Wellington Hospital
8A Wellington Place St John's Wood NW8 9LE London
Patient stories
Hear from past patients about their experience
The importance of finding the right fertility team: Zoe's story
After experiencing multiple heartbreaking miscarriages, Zoe and Giorgio faced an emotional and uncertain journey to parenthood. Despite setbacks and unanswered questions, they remained determined to find answers and explore new options.
Richard's story
After experiencing what he thought was heartburn, it was the rapid assessment and treatment Richard received at The Harborne Hospital that helped prevent a serious heart problem from becoming much worse.
Sarah's story
Sarah, a health copywriter, aged 47, from Birmingham, was looking forward to enjoying the first few months of married life, when her painful periods revealed a diagnosis of endometriosis and metastatic appendix cancer.