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What is a transobturator tape (TOT) procedure?

This is the procedure for urinary stress incontinence and it is performed under a general or spinal anaesthetic.

A small incision is made on the wall of the vagina and the permanent tape is introduced via the vagina to sit under the urethra. The needles used to place the tape are introduced through small incisions at both sides of your upper inner thigh (see picture). The tape used is a permanent mesh, which will not be dissolved in your body.

Surgery for stress incontinence aims to give you more control over your bladder. It cannot always cure the problem completely.

Why do I need a transobturator tape (TOT)?

You will have discussed the options to manage your stress incontinence with your doctor and decided to have a transobturator tape inserted.