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International Urogynecology Associates
Surgically Treated over 400 Mesh Complications in 2012
Best Doctors in America - 10 Years

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TOT Sling Complications: Difficulty urinating

Sling complications can also be attributed to the TOT sling. Approximately 1-2% of patients can have can have partial obstruction of the urethra causing difficulty emptying their bladder or complete obstruction resulting in urine retention ie. one’s ability to empty the bladder at all. A simple sling release can often remedy the problem. Please see video.


Click images below to enlarge.

Normal TOT Sling

Normal TOT Sling

Upward tension - obstructing urethra

Upward Tension - Obstructing Urethra

Portion of mesh removed to relieve tension

Portion of mesh removed to relieve tension


TOT or TVT Sling Removal - Vaginal Pain / Difficulty Emptying Bladder