TOT 8/4: A Way to Standardize the Surgical Procedure of a Transobturator Tape

Figure 1

Standardization of the transobturator tape placement in the TOT 8/4 surgical technique. While placing the suburethral tape according to Delorme, one Hegar 8 dilator (2 white asterisks) was placed intraurethrally and one Hegar 4 dilator (1 white asterisk) was placed suburethrally between urethra and implanted tape. When tightening the tape, the distance between tape and urethra remained defined because the two Hegar dilators remained in the shown position.