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TOT Sling

From the Pelvic Floor Articles List



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.

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Find a Surgeon

HysterSisters Doctor Directory
Elizabeth Case, M.D.
1720 Nicholasville Road
Suite 702
Lexington KY 40503
859-264-8811
David Zisow, M.D.
2005 Rock Spring Rd Ste. 3
Forest Hill - Baltimore MD 21050
410-879-1139
Siobhan Kehoe, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
214-645-4673
Richard W Farnam, M.D.
1700 N. Oregon
Suite 520
El Paso TX 79902
9155335600
Tamer Seckin, M.D.
872 FIFTH AVE
NEW YORK NY 10065
2129881444
Sherry L Neyman, M.D.
Renaissance Women's Group
12201 Renfert Way Ste 200
Austin TX 78758
512-425-3875
Jennifer Hayes, M.D.
Visionary Centre for Women
2695 Ulmerton Rd
Clearwater FL 33762
727-540-0414
Linda Nicoll, M.D.
NYU Faculty Practice GYN
NYU Trinity Center - 111 Broadway 2nd Floor
New York NY 10006
2122639700
Jennifer Elliott, M.D.
980 Johnson Ferry Road
Suite 720
Atlanta GA 30342
(404) 252-3898

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