TOT
Also written as: TOT — TransObturator Tape
Transobturator tape procedure for stress incontinence using an inside-out or outside-in approach through the obturator foramen.
Full Definition
A surgical technique for treating stress urinary incontinence that involves placing a polypropylene mesh tape beneath the mid-urethra using a transobturator approach. Unlike TVT, which uses a retropubic approach, TOT passes the mesh through the obturator foramen, avoiding the retropubic space and reducing the risk of bladder and bowel injury. The procedure can be performed using either an inside-out technique (TVT-O) or outside-in technique (TOT), both providing effective treatment for stress incontinence with potentially lower complication rates than retropubic slings.
Usage
Usage note: Distinguish from TVT approach; may be specified as inside-out or outside-in technique.
In Context
- "TOT procedure was selected over TVT due to the patient's previous retropubic surgery." — Preoperative planning note
- "Postoperative voiding trial was successful following uncomplicated TOT placement." — Postoperative note