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The trans-obturator or “TO” sling procedure has become one of the most popular and effective surgical treatments for female Stress Incontinence worldwide. It is done with a specially-made device to pass the sling through an incision in the inner thigh or and is a relatively fast and low-risk surgery that is effective, and it avoids abdominal incisions. The TO sling lies flatter under the and has a lower risk of blocking the urethra, causing difficulty with urinating, or needing another procedure to loosen the sling. Compared with other slings, it has similar success rates. Some patients can have temporary pain and leg weakness or numbness with the TO sling, but this usually gets better over a few days. Rates of surgical cure: 81-100% ( Average 88 % ) What To Think About Before having surgery for urinary incontinence, ask your doctor about the following: How much success has the doctor had in treating incontinence with surgery? The success of surgical procedures for urinary incontinence depends on the experience and skill of the surgeon. Is there anything I can do to increase the likelihood of a successful surgery? Losing weight, quitting smoking, or doing pelvic floor (Kegel) exercises prior to surgery may increase the likelihood of regaining continence after surgery.