Description

Stress urinary incontinence (SUI) is a common condition in women, characterized by involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. Among the modern surgical solutions, TVT-TOT (Transobturator Tape – Tension-Free Vaginal Tape) has emerged as a highly effective and minimally invasive treatment. Dr. R.K. Mishra, a renowned laparoscopic and robotic surgeon at the World Laparoscopy Hospital, has extensive expertise in performing TVT-TOT procedures with precision and excellent outcomes. What is TVT-TOT? TVT-TOT is a minimally invasive surgical technique designed to provide support to the urethra and bladder neck. Unlike older methods, it avoids extensive incisions, reducing postoperative pain and recovery time. The procedure involves placing a special tape under the mid-urethra through the transobturator route, which passes through the obturator foramen of the pelvis. This creates a “hammock” of support, preventing urine leakage during physical activity. Advantages of TVT-TOT by Dr. R.K. Mishra Minimally invasive: Small vaginal and groin incisions with minimal tissue damage. Quick recovery: Most patients resume normal activities within a few days. High success rate: Long-term studies show excellent continence outcomes. Reduced complications: Less risk of bladder or bowel injury compared to traditional approaches. Performed by expert surgeon: Dr. R.K. Mishra’s experience ensures precise placement of the tape for optimal results. Ideal Candidates TVT-TOT is typically recommended for women experiencing stress urinary incontinence who: Have not responded to conservative treatments like pelvic floor exercises. Prefer a minimally invasive option with quick recovery. Do not have significant pelvic organ prolapse requiring more complex surgery. Procedure Overview Preparation: Patient evaluation, imaging, and anesthesia planning. Tape Placement: Small vaginal incision is made; the tape is passed through the obturator foramen. Adjustment: Tape tension is adjusted to ensure proper urethral support without obstruction. Recovery: Minimal hospitalization, with most patients discharged the same day or within 24 hours. Postoperative Care Patients are advised to avoid heavy lifting and strenuous activity for a few weeks. Mild pain or discomfort at the incision sites is common and usually managed with medications. Follow-up visits ensure proper healing and confirm continence improvement. Conclusion Under the skilled hands of Dr. R.K. Mishra, TVT-TOT offers a safe, effective, and minimally invasive solution for women struggling with stress urinary incontinence. With a focus on patient comfort, precision, and long-term outcomes, this procedure has transformed the approach to managing SUI, helping women regain confidence and quality of life.