Trans Obturator Tape TVT, TVTO; Tension Free Vaginal Tape and Trans Obturator Tape Obturator скачать в хорошем качестве

Trans Obturator Tape TVT, TVTO; Tension Free Vaginal Tape and Trans Obturator Tape Obturator

Transobturator Tape (TOT) and Tension-Free Vaginal Tape Obturator (TVTO) are minimally invasive surgical procedures used to treat stress urinary incontinence (SUI) in women. They involve placing a synthetic mesh sling under the urethra via the obturator foramen to provide support and prevent urine leakage. 🧬 What Are TOT and TVTO? TOT (Transobturator Tape) and TVTO (Tension-Free Vaginal Tape Obturator) are variants of the mid-urethral sling procedure. They differ from the traditional TVT (Tension-Free Vaginal Tape) in their surgical approach: TVT uses a retropubic route. TOT/TVTO use a transobturator route, avoiding the retropubic space and reducing risk of bladder injury. 🩺 Indications Stress urinary incontinence due to urethral hypermobility or intrinsic sphincter deficiency. Ideal for women who have failed conservative treatments like pelvic floor exercises. 🔧 Procedure Overview Performed under local, spinal, or general anesthesia. A small incision is made in the vaginal wall. The tape is passed through the obturator foramen on both sides and positioned under the mid-urethra. The tape is left tension-free, allowing natural support without compression. ✅ Advantages Lower risk of bladder perforation compared to TVT. Reduced postoperative pain due to less tissue dissection. Shorter recovery time and often performed as a day-case procedure. ⚠️ Potential Complications Groin pain or thigh discomfort due to tape placement. Urinary retention or difficulty voiding. Tape erosion or infection. Persistent or recurrent incontinence requiring further evaluation #Surgery