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TOT — Stress Urinary Incontinence Surgery
Urogynecology

TOT — Stress Urinary Incontinence Surgery

Specialist physician: Assist. Prof. Dr. Muzaffer Uçarer — Obstetrics & Gynaecology · IVF and Reproductive Medicine  ·  Last updated: June 2026
This page provides general information and does not replace a medical consultation. Please consult your physician about your individual situation.

Stress urinary incontinence (SUI) is the involuntary loss of urine during physical activities such as coughing, sneezing, laughing, or exercise. The TOT (TransObturator Tape) procedure is a minimally invasive surgical solution that supports the mid-urethra with a synthetic mesh tape, restoring urinary control. It is one of the most effective and widely used treatments for stress incontinence.

Important Information

  • Indicated for stress incontinence — leakage with effort — confirmed by clinical exam, stress test, and where needed urodynamics.
  • TOT is performed through a small vaginal incision; the procedure typically takes 20–30 minutes.
  • Reported success rates are approximately 85–90% with most patients seeing dramatic improvement in daily life.
  • Hospital stay is usually one night; return to normal activity is generally within 1–2 weeks.

Our Approach

Dr. Muzaffer emphasizes careful patient selection and accurate diagnosis to ensure TOT is recommended only for true stress incontinence, where outcomes are most reliable.

Prices

  • TOT — €2,500–3,000
  • TOT + cystocele repair — €4,000
  • TOT + rectocele repair — €4,000
  • TOT + cystocele + rectocele repair — €4,500

Surgical prices include consultation, anesthesia, pre-operative tests and the procedure.

Our medical prices are fixed; your exact, all-inclusive price is confirmed in writing after your consultation. See our full price list →

Contact UCARER Women’s Health to book your consultation with Assist. Prof. Dr. Muzaffer Uçarer.

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Frequently Asked Questions

Common Questions

The TOT procedure typically takes 20–30 minutes under regional or general anesthesia. Most patients are discharged after one overnight stay.

Light activities can be resumed within a few days. Heavy lifting and strenuous exercise should be avoided for 4–6 weeks.

TOT mesh tapes have an extensive long-term safety record when placed by experienced surgeons in carefully selected patients. Major complications are uncommon.

In most cases, sexual function is not negatively affected. Many patients report improvement, as anxiety about leakage is reduced.

TOT provides durable, long-term improvement, but new symptoms can occur years later due to aging or other pelvic floor changes. Follow-up is recommended.

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