Transobturator Tape Procedure (Say Goodbye To Urinary Leakage)

· Those in Fukuoka looking to treat stress urinary incontinence.
· Those with urine leakage issues.
· Those who want to control urine leakage during coughing or sneezing.
· Those who wish to have a quick recovery from treating stress urinary incontinence.
· Those who wish to receive long-term urethral support.

Transobturator Tape Procedure is a minimally invasive surgical procedure for female stress urinary incontinence (SUI). It involves placing a synthetic mesh sling beneath the urethra to provide stable support and prevent urine leakage during activities that increase abdominal pressure, such as coughing, sneezing, laughing, or lifting. The tape acts as a hammock that supports the urethra in its natural position. Over time, surrounding tissue grows into the mesh, anchoring it securely and providing long-term continence.

Transobturator Tape Procedure uses a synthetic polypropylene mesh tape inserted through the obturator foramen, a natural opening in the pelvic bone. Unlike older sling procedures that pass through the abdominal wall, the transobturator approach avoids the bladder and major blood vessels, reducing the risk of injury.

A small incision is made in the anterior vaginal wall beneath the urethra, along with small incisions in the groin area. Specialized introducer needles guide the tape from the vaginal incision, through the obturator foramen, and out through the groin incisions. The tape is positioned tension-free under the urethra, allowing natural movement while providing support during physical stress. The procedure is typically performed under local anesthesia.

1. Consultation and assessment will be conducted.
2. Local anesthesia will be administered.
3. A small incision will be made in the anterior vaginal wall.
4. Small groin incisions will be created.
5. The mesh tape will be passed through the obturator foramen.
6. The tape will be positioned beneath the urethra.
7. Incisions will be closed with sutures.
8. Post-care instructions will be provided.

<Advantages>
· Improves urinary continence
· Reduces stress-related urine leakage
· Minimizes bladder injury risk
· Avoids abdominal incisions
· Provides long-term support
· Minimal visible scarring

<Limitations>
· Results may vary depending on individual condition
· Temporary urinary difficulty may occur

· Fasting may be required for at least 6 to 8 hours before procedure
· Avoid alcohol and smoking for at least 24 to 48 hours before procedure
· Discontinue the use of blood thinners for at least 1 week before procedure

· Avoid strenuous activity for at least 4 to 6 weeks after procedure
· Do not drive for at least 1 to 2 weeks after procedure
· Avoid sexual activity for at least 2 weeks after procedure
· Avoid hot tubs, baths, and spas for at least 2 weeks after procedure

Q1: What are the side effects of Transobturator Tape Procedure?
A1: Common effects include vaginal soreness, groin or inner-thigh discomfort, mild bruising, and temporary difficulty urinating. Less commonly, urinary tract infection or mesh-related irritation may occur.

Q2: How soon after Transobturator Tape Procedure can I walk?
A2: Most patients are able to walk on the same day of surgery or the following day. Gentle walking is encouraged to promote circulation, but strenuous activity should be avoided during the early recovery period.

Q3: How many days rest are required after Transobturator Tape Procedure?
A3: Light rest is generally recommended for 2 to 3 days after the procedure. Many patients can resume normal daily activities within a few days, but heavy lifting and intense physical activity should be avoided for 4 to 6 weeks.

Q4: Can I do housework after Transobturator Tape Procedure?
A4: Light housework, such as cooking or tidying up, can usually be resumed after a few days, as long as it does not involve heavy lifting or straining.

Q5: Do I need to stay in the clinic after Transobturator Tape Procedure?
A5: In most cases, hospitalization is not required. Many patients can go home on the same day after confirming they can urinate normally.

[Clinic Name] Hakata Trust Rise Clinic
[Location] Fukuoka, Japan
[Nearest Stations / Attractions] Conveniently accessible via 2 minutes walk from Yoshizuka Station and 10 minutes drive from Fukuoka Airport
[Clinic Opening Time] Monday to Saturday (8:30AM - 6:00PM); Wednesday and Saturday (8:30AM - 12:30PM); Closed on Sunday and Public Holiday

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