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TOT Sling

From the Pelvic Floor Articles List

SHARING IS CARING


Tot Sling explainedWhat is a TOT sling? How is it different from a TVT sling?


A transobturator (TOT) sling is used to correct stress urinary incontinence, which is a condition that allows urine to leak when sneezing, coughing, laughing, or otherwise putting pressure on the bladder. The TOT sling is a ribbon or mesh-like structure placed permanently under the urethra and attached to subfascial tissue through two small incisions in the groin area. If the TOT sling procedure is performed without any other procedures done at the same time, the surgery will probably take about half an hour, and recovery may take a week or two.

A TOT sling differs from a TVT sling in its location and the incisions made. A TOT is believed to carry fewer risks of complications because the anchoring stitches are made in subfascial tissue through smaller incisions, while the TVT sling is anchored deeper inside the abdomen and allows the possibility of accidental damage to nerves and blood vessels in the pelvis. If you get a TOT sling, you will have two small incisions in your groin, in the creases of your thighs where they meet the pelvis.

Both TOT and TVT slings can be fashioned from synthetic mesh, biomesh, or your own faschia that the surgeon harvests from your thigh or abdomen during surgery. You will want to find out which material your surgeon wants to use and research the successes and risks of each kind before moving forward with your surgery.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-29-2011 - 12:39 AM


SHARING IS CARING


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Find a Surgeon

HysterSisters Doctor Directory
Bruce Bonn, M.D.
2311 M St, NW Suite 304
Washington DC 20037
202-331-0577
Antonio Gargiulo, M.D.
Brigham and Women's Hospital
75 Francis Street
Boston MA 02115
617-732-4222
Melodie Wilson, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
703-391-1500
heath miller, M.D.
1101 madison street
suite 1150
seattle WA 98104
206-386-3400
Aileen Caceres, M.D.
Center for Specialized Gynecology/Florida Hospital
410 Celebration Place, Suite 302
Celebration FL 34747
(407) 303-4573
Elizabeth Babin, M.D.
151 Fries Mill Road Suite 301
Turnersville NJ 08012
856-374-1377
Diane DiTusa, M.D.
2671 hwy 70
Manasquan NJ 08736
732-528-6999
Linda Wrigley, M.D.
4200 Lake Otis Pkwy Ste 101
Anchorage AK 99508
907-569-8810
Robert Furr, M.D.
Women's Surgery Center
1604 Gunbarrel Road
Chattanooga TN 37421
4238996511

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