Backround: The transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than.

Pallavi Latthe, a urogynecologist of the Birmingham Women‘s NHS Foundation Trust in the UK, has recently reviewed clinical research of transvaginal versus transobturator tape procedures for SUI.4.

No stitches are used to attach the tension-free sling, which is made from a strip of synthetic mesh tape. Instead, body tissue holds the sling in place. Eventually scar tissue forms in and around.

TOT transobturator tape Dr. Sladjana Kovacevic: " It is a tape that is implanted in women who have the problem of stress urinary incontinence, or involuntary urination. We performed a cystoscopy on the patient, prepared it completely diagnostically and concluded that the patient is an ideal candidate for this intervention. "

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Objective: Transvaginal tension-free vaginal tape-obturator (TVT-O) is an effective surgical treatment for stress urinary incontinence in women [1]. A correct preoperative urodynamic study has a role in obtaining the best results. However, some complications still occur during and after this surgical procedure.

In transobturator tape (TOT) placement, through small incisions placed in the groins and in the vagina under the urethra, the mesh can be placed under the urethra in the correct position without having to pass needles blindly through the retropubic space, as in transvaginal tape (TVT).

Transobturator Sling- New, Safer Approach Despite its relative safety, the tension free vaginal tape procedures require the blind passage of needles through 2 small incisions in the abdomen just above the pubic bone. The retropubic space that the needle has to pass through to get to these a bdominal

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. This is answered comprehensively here.

0. Oct 23, 2009. #1. Can someone help me? I am just getting into billing urology procedures and am a little confused on the transobturator tape procedure for stress urinary incontinence. Is this different from a sling procedure? Is there a different code for this than the sling procedure (57288). I even wondered if I should use the unlisted code.

Sling Procedures for Urinary Incontinence – In this minimally invasive procedure, mesh tape is used for the sling under the urethra and held in place by the patient’s body rather than stitches. The sling is inserted through an incision in the.

Transobturator Tape . What is a Transobturator Tape (TOT) surgery? It is a surgery to place a narrow ribbon of polypropylene mesh underneath the urethra. The urethra is the tube that allows urine to pass out of the body. The ribbon of mesh acts as a layer of support so that the urethra is closed off when there is downward pressure, like when.

in the parasagittal plane, transobturator tapes often can be seen to perforate the obturator fascia and muscle close to the insertion of the pubovisceral muscle; sometimes, they traverse the most inferomedial component of the levator before exiting the pelvis.93 wide-weave mesh implants used in procedures, such as the perigee, apogee or prolift.

The transobturator tape (TOT) sling procedure is a surgical treatment for female urinary stress incontinence. The aim of the procedure is to provide support to the bladder by placing a synthetic mesh (which acts as a sling) under the mid-portion of the bladder neck. Call us! Feel free to send us a message! Urinary bladder anatomy

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Backround: The transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than.

Is transobturator tape as effective as tension-free vaginal tape in patients with borderline maximum urethral closure pressure? Am J Obstet Gynecol. 2006;195:1799-1804. Guerette NL, Biller DH, Bena JF, Davila GW. Development of a mathematical model to predict antiincontinence surgery outcomes. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:S120.-
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,

Tension-free vaginal tape slings have gained popularity as a result of its safety, minimal invasiveness, and speedy application, hence boosting market expansion over the study period. The.

In the transobturator approach, the path of the tape, crossing the obturator foramen, muscle, and fascia, reproduces the natural suburethral suspension by.