TOT Sling Complications
Bladder sling complications can occur after the TOT sling. Mesh surgeon experts Drs. Miklos & Moore have removed hundreds of these surgical mesh complications including more than 40 complete TOT sling removal through the groin. Most experienced doctors will only remove the vaginal portion of the TOT sling. Drs. Moore & Miklos will remove the whole sling from groin to groin if the indication or the symptoms suggests doing so and the patient agrees. (click here to see video)
Normal Sling Placement
Average Surgeon TOT Sling Removal
Drs. Miklos & Moore TOT removal for vaginal pain
Drs. Miklos & Moore TOT removal for bilateral groin pain
The TOT sling was developed to stop cough urine leakage aka stress urine incontinence and was initially developed in an attempt to have a much lower complication rate than the TVT sling. The TOT sling is passed through the groin and was developed in an attempt to reduce risks known to occur with the passage of the abdominal needles for placement of the TVT type sling (ie bladder, bowel, major vascular injury). Instead of passing needles blindly through the abdominal wall, the needles are passed through the groins, which is a potentially a much safer needle pass.
Sling complications encountered with the TOT sling have been shown to have similar mesh complications of the TVT sling however does not typically result in abdominal pain issues. However with the needle now passing through the groin patients can experience acute and chronic groin pain.. The most common mesh complication symptom associated with the TOT sling is pain during intercourse. Other most common sling complications associated with this mesh surgery include but not limited to: vaginal pain, pain with intercourse, mesh erosion, urine retention, difficulty emptying the bladder, groin pain, inner thigh pain, and erosion of the mesh into the bladder or urethra.
Below are examples of TOT Slings:
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TVT-O, TVT Abbrevo *Gynecare
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Monarc *AMS
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Align-TO, Uretex-TO *Bard Urology
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Obtryx *Boston Scientific
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Obtape *Mentor
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T Sling, Desara-TO *Caldera Medical
*indicates company provider
Types of Complications
Difficulty emptying bladder
Vaginal mesh extrusion / visible mesh
Vaginal pain / painful sex
Groin Pain / Difficulty Walking
Mesh Erosion in Urethra
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