Stress urinary incontinence (SUI) is a common condition in women where urine leaks involuntarily during activities such as coughing, sneezing, laughing, exercising, or lifting heavy objects.
When conservative treatments fail, sling surgery—including TOT (Transobturator Tape) and TVT (Tension-Free Vaginal Tape)—offers a highly effective and long-lasting solution.

Under the expert care of Dr. Ajinkya Kasekar, sling surgeries are performed using minimally invasive techniques to restore bladder control and improve quality of life.

What Is Stress Urinary Incontinence (SUI)?

Stress urinary incontinence occurs when the pelvic floor muscles and tissues supporting the urethra become weak, causing urine leakage with physical stress or pressure.

It is different from urge incontinence and is purely related to weak support, not bladder overactivity.

Common Causes of SUI in Women

• Pregnancy and vaginal childbirth

• Aging and menopause

• Weak pelvic floor muscles

• Hormonal changes

• Obesity

• Chronic coughing

• Previous pelvic surgeries

• Heavy physical activity

Symptoms of Stress Urinary Incontinence

• Leakage of urine while coughing or sneezing

• Urine loss during laughing or exercising

• Leakage while lifting weights or standing suddenly

• Avoidance of social or physical activities

• Reduced confidence and quality of life

When Is Sling Surgery Recommended?

Sling surgery is advised when:

• Lifestyle changes and pelvic floor exercises fail

• Symptoms are moderate to severe

• Leakage affects daily activities and confidence

• Conservative treatments do not provide relief

What Is Sling Surgery?

Sling surgery involves placing a synthetic mesh tape (sling) under the urethra to provide support and prevent urine leakage during physical stress.

It is considered the gold-standard surgical treatment for stress urinary incontinence in women.

Types of Sling Surgery

1. TVT (Tension-Free Vaginal Tape)

• Sling placed through the vagina and behind the pubic bone

• Provides strong mid-urethral support

• Suitable for most women with SUI

2. TOT (Transobturator Tape)

• Sling placed through the vagina and passes through the obturator foramen

• Lower risk of bladder injury

• Less postoperative pain

• Excellent success rates

The choice between TVT and TOT depends on patient anatomy, severity of symptoms, and surgeon’s assessment.

How Sling Surgery Is Performed

1. Surgery is done under spinal or general anesthesia.

2. A small vaginal incision is made.

3. The sling is positioned under the urethra.

4. No tension is applied—support is natural.

5. Incisions are closed with dissolvable sutures.

Procedure time: 20–40 minutes
Hospital stay: Same day or overnight

Benefits of TOT / TVT Sling Surgery

• High success rate (85–95%)

• Minimally invasive

• No external cuts or scars

• Quick recovery

• Long-lasting relief

• Improved confidence and quality of life

• Safe and well-established procedure

Recovery After Sling Surgery

Most women:

• Go home the same day or next day

• Resume normal activities within 5–7 days

• Avoid heavy lifting for 4–6 weeks

• Experience minimal discomfort

• Notice immediate improvement in urine control

Are There Any Risks? (Rare & Treatable)

• Temporary urinary discomfort

• Mild groin or thigh pain (more common with TOT)

• Temporary difficulty in urination

• Mesh-related issues (rare with modern techniques)

Careful surgical technique significantly reduces risks.

Why Choose Dr. Ajinkya Kasekar?

• Expertise in female urology and incontinence surgery

• Extensive experience with TOT and TVT procedures

• Patient-specific treatment planning

• Minimally invasive, evidence-based approach

• Clear counseling and compassionate care

• Focus on long-term results and patient comfort

When Should You Seek Help?

You should consult a urologist if:

• Urine leakage is frequent

• Symptoms worsen over time

• Daily activities or confidence are affected

• Pelvic floor exercises are ineffective

Early treatment provides better outcomes.

Book a Consultation

If stress urinary incontinence is affecting your daily life, sling surgery (TOT / TVT) can provide a safe and permanent solution.
Consult Dr. Ajinkya Kasekar for expert evaluation and advanced treatment options.