Trans-Obturator Sub-Urethral Sling

It is estimated that urinary incontinence affects about 13 million American women every year. Women who are affected often experience accidents of urinary leakage when they laugh, cough, sneeze, or, in more severe cases, when they walk. Despite their impact on the affected individual’s quality of life, most of these conditions are often untreated.

Traditional methods of surgery result in a large abdominal scar, significant blood loss, and a prolonged recovery period. With the advances of new surgical equipment and microsurgical techniques, the procedure is now performed in about thirty minutes with minimal scarring and pain.

Trans-Obturator Tension-Free Vaginal Tape (TOT) placement is a vaginal procedure used to correct stress urinary incontinence and a disorder called intrinsic sphincter defect. A synthetic mesh tape is placed under the bladder neck. This tape functions as a “hammock” supporting the urethra in times of stress, such as coughing, sneezing, laughing, jumping, etc. When properly performed, TOT results in an 86-95% success rate.

TOT may be done under general, regional (spinal or epidural) or local anesthesia. TOT requires only three tiny incisions: a one-inch vaginal incision (under the urethral opening) and two one-fifth inch perineal incisions. If not performed with other procedures, patients may go home the same day. The procedure takes 20-30 minutes, requiring only a few days of recovery to go back to light duty (office) work and about two weeks for all other activities.

Bladder Drill

Under medical supervision, this can improve symptoms of over active bladder.

PTNS (Peripheral Nerve Stimulation)

Neuromodulation by stimulating the bladder nerves, using mild comfortable electric pulses, can improve bladder leakage in over 95% of patients.

Vaginal Rejuvenation and O-Spot Enhancement

This has shown to alleviate symptoms of urinary leakage and incontinence.