- Preoperative evaluations with the surgeon
- Medical specialists during your stay in hospital (surgeon, anesthesiologist, nurse)
- All hospital services (e.g. room, meals, operating room costs)
- Surgical materials needed for your procedure and recommended by the doctor.
- Drugs required for your procedure
- Additional costs to provide your treatment (e.g. rental of special equipment)
- One follow up visit with the surgeon.
- Treatment clinically required related to your procedure: physiotherapy, removal of plaster casts, sutures, required radiology or tests.
- Any re-admission to the hospital in Valencia, if medical complications arise from the original procedure.
Once you send your documentation and required tests, the doctor will determine if you are an eligible candidate for this procedure. Patients may have stress urinary incontinence (SUI) after prostate surgery due to urethral sphincter dysfunction or bladder dysfunction. After an unsuccesful non-invasive measures a sling might be an alternative.
TOT techniqueThe purpose of this surgery is to keep your urethra in its correct position supported by a sling, correcting stress incontinence.
DESCRIPTION OF THE PROCEDURE
A small inciscion is made and a sling is put to support your urethra, acting as a hammock.
- Regain the control of the bladder.
- Improve patient's quality of life.
Not performing the surgery may cause progressive problems. Alternatives are:
- Artificial urinary sphincters or non invassive treatments:
- Behavioral techniques
- Pharmacologic treatments
- Periurethral bulking
Every procedure has its own risks. 95% of patients will have no complication during a procedure, but it is necessary to know about them. It is important to compare risks to potential benefits.
COMMONS RISKS (2-5 PATIENTS OUT OF 100)
- Transitory acute urinary retention
LESS COMMONS RISKS (1-2 PATIENTS OUT OF 100)
- Bladder perforation
- Erosion of the urethra
RARE RISKS (LESS THAN 1 PATIENT OUT OF 100)
- Urinary tract infections
- Persistent perineal pain
- Mild perineal pain
- Perineal hematoma
- Incomplete bladder emptying
- Re-catheterized postprocedure
- No heavy lifting and no heavy exercises for 6 weeks.
- No submerging in water for 4 weeks
- No sexual activity for 4 weeks
- Drink plenty of fluids and frequently walking.