HysterSisters Articles for Hysterectomy
From the Pelvic Floor Articles List
SHARING IS CARING
What 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
|Bruce Bonn, M.D.
2311 M St, NW Suite 304
Washington DC 20037
|Lori Warren, M.D.
3900 Kresge Way
Louisville KY 40207
|James Greenberg, M.D.
1153 Centre Street #36
Jamaica Plain MA 02130
|Mark R. Preston, M.D.
60 Westwood Ave Ste 200
Waterbury CT 06708
|Kimberly Newman, M.D.
10030 Edison Square Drive
Concord NC 28027
|Shirley Bennett, M.D.
7255 Old Oak Blvd
Middleburg Hts OH 44149
|Clifford Rogers, M.D.
The Everett Clinic, Dept. of Surgery and Gynecology
1330 Rockefeller Ave, Suite 120
Everett WA 98201
425 339 5424
|Robert Castle, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
|Diane DiTusa, M.D.
2671 hwy 70
Manasquan NJ 08736