Procedures with application of synthetic tape – TOT and TVT – are most frequently referred to among the treatment methods of 2nd-3rd degree stress urinary incontinence. Both procedures are very similar to each other, with the fundamental difference lying in the situation of sections through which ends of the tape supporting the uriniferous tubule are led to the outside.
In the TVT method, the sections are performed above the interpubic joint, whereas the TOT method involves leading the tapes out through sections in the groins. The surgery itself involves introduction – through the vagina – of a thin, tension-free polypropylene tape, which is subsequently fixed so that it supports the uriniferous tubule well from the side of the vagina.
The surgery is performed in local anaesthesia or in general lumbar anaesthesia, and it usually lasts approximately half an hour. It is characterised with low invasiveness and very high effectiveness: research conducted so far proves that it is higher than 90%. The risk of post-surgical complications is very insignificant – the most frequent problem reported by patients are difficulties with unassisted urination (5% patients). The implanted tape performs its function for at least ten years, and in case of weakening of the muscles and ligaments, the procedure may be performed again. After the surgery, patients are recommended to refrain from intensive physical effort for approximately three months.