Tension-free Vaginal Sling Procedures: Transobturator Tape Procedure
Tension-free vaginal sling procedures: transobturator tape procedure (TOT) is a treatment for urodynamically proven stress incontinence in women. TOT is a minimally invasive procedure that involves the placement of a small piece of polypropylene mesh around the pubic bones underneath the urethra. The urethra is the tube through which urine passes from the bladder to the outside of the body. With the TOT procedure, the tape for the sling is routed through a 3mm incision within both inguinal (groin) folds and through the obturator foramen, the space created by the ischium and pubis pelvic bones. The mesh tape is manually guided through a small incision in the vagina and positioned under the urethra. The ends of the tape are secured to the groin incisions and adjusted just enough that its tension supports the urethra. TOT has been shown to have fewer side effects than the other major tension-free vaginal sling procedure, called transvaginal tape procedure (TVT). Operative times for TOT vary greatly depending on the findings at the time of surgery. Average times range from 20 to 40 minutes with the patient under local anesthesia plus intravenous sedation, regional, or general anesthesia. TOT is a day surgery or a 23-hour observation surgery.
UAB Urogynecology and Pelvic Reconstructive Surgery provides the highest level of evidence-based care for the full spectrum of women’s pelvic floor disorders. We stand apart from other programs because our board-certified or board-eligible physicians offer the full range of treatment options for women with urinary and bowel incontinence, pelvic organ prolapse, and other pelvic floor conditions. We feature minimally invasive surgical treatments for urinary and bowel incontinence and pelvic organ prolapse, and we collaborate with colleagues in providing nonsurgical options for pelvic floor conditions.
Our urogynecologic and pelvic reconstructive surgeons and physicians are recognized nationally and internationally, including service as president of the prestigious Society of Gynecologic Surgeons, a select member group of more than 250 physicians involved in teaching and practicing advanced gynecologic surgery. In addition, our leadership has been appointed to the National Institutes of Health (NIH) Urologic and Genitourinary Physiology and Pathology Study Section at the NIH Center for Scientific Review.
Urogynecology is all that we do, so you can depend on us to deliver individualized care in a sensitive fashion that fulfills your specialized needs.
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Robot-Assisted Hysterectomy at UAB Medicine
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UAB OBGYN and Maternity Care Expands to Hoover
The expert care you've come to expect from UAB Women & Infants Services is coming to Hoover. Beginning April 22, UAB OB/GYN will bring its nationally ranked OB/GYN care to the current UAB Medicine Hoover location. The office will serve current and new UAB Medicine patients.
"Our Hoover patients will have access to the same services they would get at the main UAB campus with the convenience of being closer to home," says UAB OBGYN Heather Greer, MD.
Dr. Greer and Nurse Practitioner Kathy Hudspeth will staff the OB/GYN clinic on Tuesdays and Wednesdays and provide the following services:
Routine and complex gynecologic care
UAB OB/GYN offers comprehensive women's health care ranging from routine obstetric and gynecology care to complex gynecological concerns. When you establish a relationship with our doctors, you can carry that relationship throughout your lifetime.
Request an appointment at UAB OBGYN Hoover or call 205.996.3130 to learn more.
UAB Maternity Clinic
"We are excited to be able to provide services in Hoover with the same care and level of expertise that we do at our UAB location," says Joseph Biggio, MD, director of the Division of Maternal Fetal Medicine .
Obstetric care will be offered for women who have or qualify for Maternity Medicaid on Mondays and Thursdays. Services include:
Care coordination and case management
When the time comes, patients will deliver their babies in our state-of-the-art Women & Infants Center , staffed by a team of obstetric specialists providing 24-hour personal care. Should the need arise, the team has instant access to Alabama's most advanced nursery, the UAB Regional Newborn Intensive Care Unit , as well as the resources available at the new Children's of Alabama Benjamin Russell Hospital for Children, connected by sky bridge.
Learn more about the services provided at the UAB Maternity Clinic »
To make a Maternity Care appointment in Hoover, call 205.930.1174
UAB Medicine Hoover is conveniently located at:
Lake Crest Centre
2321 Highway 150, Suite 201
Hoover, AL 35244