![]() When the sling is put in its desired position, it forms a cradle around your urethra, which provides the support that you need. The length of the incision will depend on the severity of your condition and your urologist’s approach. To place the sling, a small incision is made in the vagina. Trans-obturator (TOT) sling placement is performed at Urology Associates of Central California in our freestanding Ambulatory Surgery Center located on the same campus as your urologist’s office.ĭuring a trans-obturator sling procedure, your urologist will place the center of the sling beneath your urethra. Each is caused by a variety of conditions, such as: In addition to stress incontinence, there are other types of incontinence, such as urge incontinence, and overflow incontinence. Often, intrinsic sphincter deficiency occurs in conjunction with female stress incontinence. It occurs when the urethral sphincter, which opens and closes the bladder neck opening, does not function properly.
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