The most frequently used methods of treating stress urinary incontinence include treatments with the use of synthetic tape – TOT and TVT. Both procedures are very similar to each other, and the main difference is the location of the cuts through which the ends of the tape supporting the urethra are led out.
In the TVT method, cuts are made over the pubic symphysis, while the TOT method involves leading the tapes through incisions in the groin. The procedure itself involves the transvaginal insertion of a thin, tension-free polypropylene tape, which is then fastened in such a way that it supports the urethra well from the vaginal side. The procedure is performed under local or general anesthesia. It is characterized by low invasiveness and very high efficiency.