Transobturator approach for mid-urethral sling – Operative steps

Abstract

Use of mid-urethral slings to treat stress urinary incontinence is based on the integral theory that the mid-urethra has an important role in the continence mechanism. Transobturator vaginal tape (TOT) involves passage of the sling transvaginally through the obturator foramen so as to avoid the pelvic organs and vasculature. In this report, we describe the operative steps of the transobturator approach.

Keywords

• mid-urethral slings
• stress
• transobturator approach
• urinary incontinence