Urinary Incontinence

If your doctor has recommended Transobturator Tape (TOT) / Transvaginal Tape (TVT) surgery, it is aimed to relieve or alleviate your complaints with urinary incontinence.

Although these surgeries are usually performed with spinal/epidural anesthesia (numbness from the waist), general anesthesia can rarely be applied. This surgery begins with a vaginal incision. A strip made of a synthetic material called polypropylene is placed to support the urethra (the tube that carries urine from the bladder to the outside of the body). If necessary, at the end of the surgery, a urinary catheter or a tampon can be placed inside the vagina to control bleeding. These will be removed in the postoperative period when your doctor deems it appropriate.

To whom are these surgeries (TOT/TVT) performed?

People who leak urine by coughing, sneezing, heavy lifting
Patients who have had previous surgery for these reasons and whose complaints continue
Patients who received drug therapy for urinary incontinence and did not benefit

How is the success of these surgeries (TOT / TVT)?

Significant improvement is seen in 9 out of 10 women who have “Transobturator Tape (TOT) / Transvaginal Tape (TVT)” surgery.

What is the process after the operation (TOT / TVT)?

You will not be given oral food for a while (average 6 hours) after the operation, you will be fed intravenously. In the postoperative period, you may be asked to walk, breathe deeply, cough, and engage in various activities. During your stay, you will be given various medications by intravenous, intramuscular, subcutaneous, oral or respiratory routes. You will also be informed about the drugs to be given. Similarly, you will be provided with detailed information on blood or blood product transfusions if required. All these measures are aimed at ensuring your recovery in a shorter time and preventing the occurrence of undesirable situations. Although your hospital stay is an average of 2 days (1 night), this period may vary depending on recovery or undesirable conditions. Generally, our patients who return home recover in a period of 2-4 weeks.

What patients should pay attention to in the period after TOT/TVT surgery

To use the drugs given after discharge carefully
Avoiding sexual intercourse for 6 weeks
Avoiding heavy lifting for at least 2 weeks, avoiding anything that will increase intra-abdominal pressure, such as constipation.
Consuming vegetables, fruits, whole grain foods
Drinking enough fluids (your urine should be clear or slightly yellow)

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Urinary Incontinence