TOT or trans obturator tape procedure is done to relieve the stress urinary incontinence. The success rate of TOT procedure is 82 to 96%. TOT is aimed to give you more control over your bladder and prevent urinary leakage whenever the pressure inside your belly increases like coughing, or laughing out loud.
Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.
TOT procedure is done under spinal or general anesthesia.
A small incision is placed on the vaginal wall and the permanent trans obturator tape is introduced through the vagina this sits under the urethra with the help of specially designed needles that come out through the upper thigh.
The tape inserted this way will push up the urethra which has come down due to aging or repeated vaginal childbirths. Once the urethra goes back to its normal position; there is no direct pressure transmission from the bladder to the urethra. This prevents urine leakages.
This TOT tape is a permanent mesh and does not get dissolved in the body. The effect of TOT lasts lifelong.
Serious complications are rare with TOT procedure. However, no surgery is without risks and the potential complications are:
Pain in groin or thigh associated with tape.
Symptoms of adnexal mass may be different for different people depending upon its cause.
Common symptoms are:
Surgery will be needed if:
Laparoscopic removal of the adnexal mass is the ideal treatment.
The advantages of laparoscopy include speedy recovery, less pain and cosmetically better appearance.
Laparotomy or opening up of the abdomen is indicated if
1. The adnexal mass is likely to be malignant
2. The patient is not fit to undergo laparoscopy
3. The adnexal mass is huge
Once removed, the adnexal mass will be sent to the lab to determine whether or not the cells contained within it are cancerous. If they are, further treatment may be required under the guidance of an onto physician.