Pelvic organ prolapse and urinary incontinence surgery (TOT)

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs become weakened, allowing organs such as the uterus, bladder or vaginal walls to move downwards from their normal position.

Women with pelvic organ prolapse may experience a feeling of heaviness or pressure in the pelvis, a bulge in the vaginal area, discomfort during everyday activities, difficulties with urination or bowel movements, and urinary incontinence.

These problems may develop due to childbirth, age-related changes, menopause, reduced pelvic floor muscle strength, previous pelvic surgery, obesity, chronic constipation or other factors.

When symptoms are significant and conservative treatments are not sufficient, surgery may be recommended to restore pelvic support and improve quality of life.

A TOT (transobturator tape) procedure is used to treat stress urinary incontinence, particularly urine leakage that occurs when coughing, sneezing, exercising or lifting. During the procedure, a supportive tape is placed beneath the urethra to provide additional support and improve bladder control.

The aim of surgical treatment is to reduce symptoms, improve urinary function and help patients return to a more comfortable and active everyday life.