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TVT, TOT and Mini Slings

For individuals with vaginismus (tightness of the vaginal muscles), vulvodynia (chronic vulvar pain), pelvic floor dysfunction, and vulvar vestibulitis (pain upon entry to the vagina), Vaginal Botox may offer significant relief by ceasing muscle contractions contributing to pain and/or dysfunction. After an in-depth assessment of your symptoms, Drs. Kimble will develop a custom-tailored treatment plan for you. The entire procedure can be quickly performed in the comfort of the Kimble Center for Intimate Cosmetic Surgery and requires no downtime. Most patients experience the benefits of Vaginal Botox within two weeks and can expect to maintain those results for up to a year.

Say Goodbye to Leaks: Restoring Control, Restoring You!

Introducing TVT, TOT, and Mini Sling procedures – the gold standard in minimally invasive surgeries for stress urinary incontinence. We are dedicated to providing personalized care and effective solutions tailored to your unique needs.

Be Part of Our Trailblazing Study of the Safety of TOT and Mini Slings!

The Kimble Center, led by Drs. Kimble is at the forefront of conducting a groundbreaking postmarket surveillance study. The study aims to evaluate the safety of two innovative treatments for stress urinary incontinence (SUI) – the Desara® One Single Incision Sling and the Desara® Blue Sling, both implanted via the transobturator route. We request you to be part of this study so that you can contribute to the advancement of women’s health.

What is Stress Urinary Incontinence or SUI?

Stress urinary incontinence (SUI), commonly referred to as bladder leakage, affects millions of women worldwide. This condition occurs when weakened tissues and muscles surrounding the bladder and urethra result in unintentional urine flow. Activities like coughing, sneezing, laughing, running, or lifting can trigger urine leakage due to the inability of the urethra to close properly. Luckily, there are surgical procedures like TVT, TOT, and Mini Slings to help manage stress urinary incontinence effectively.

What to Expect After Vaginal Botox Treatment?

TVT, TOT, and Mini Slings are surgical techniques used to restore the proper position of the urethra, providing support and preventing urine leakage. These procedures involve the placement of a thin tape or mesh beneath the urethra, acting as a sling or hammock-like support. By creating a support structure, these slings help close the necks of the urethra and bladder, reducing or eliminating stress incontinence episodes.

TVT (Tension-free Vaginal Tape)

The TVT procedure involves a vaginal incision and two minor incisions at the pubic hairline. The sling is threaded through the vaginal incision and positioned beneath the urethra. The ends of the tape are then brought out through the pubic hairline incisions. This minimally invasive technique takes approximately 30 minutes to complete.

TOT (Transobturator Tape)

Introduced in 2001, the TOT sling is a second-generation synthetic mesh sling. It is inserted through a vaginal incision, similar to the TVT sling, but exits the pelvis through small groin incisions. The TOT sling offers comparable cure rates to the TVT sling and the Burch procedure, with a reduced risk of complications.

Mini Sling or Single Incision Sling (SIS)

The Mini Sling, also known as Single Incision Sling (SIS), is a smaller sling that requires only one incision beneath the urethra. Unlike the TVT and TOT slings, which require three incisions, the SIS is inserted through a single tiny incision of about 1 inch. The aim is to maintain stress urinary incontinence cure rates while minimizing complications. The procedure typically takes around 30 minutes to complete.


Step 1: Schedule Your Consultation

Start by scheduling a consultation with our renowned surgeons through our convenient online booking system. Upon booking, you will receive a patient portal link to upload your relevant medical records. You can be asked to share your medical history with us.

Step 2: Consultation with Drs. Kimble

Ideally, we recommend an in-person consultation with Drs. Kimble. However, for out-of-town clients, we can conduct a virtual consultation to begin the process. During this consultation, Drs. Kimble will carefully listen to your concerns, assess your condition, and develop a personalized surgical plan tailored to your goals. The consultation fee is $700.

Step 3: Preoperative Visit

Before your surgery, you will have a preoperative visit with the coordinators. They will ensure that you are fully prepared for your big day. This may involve assisting with hotel arrangements, transportation, post-operative plans, care instructions, and medications.

Step 4: The Surgery Day

On the scheduled day of your surgery, our expert surgical team will provide you with safe, professional, and compassionate care.

Step 5: Post-Surgery Care

Our experienced team will provide you with detailed post-surgery instructions, and support to ensure successful results and a smooth and painless recovery.

Let Us Help You Get Freedom from Stress Urinary Incontinence!

Contact us today to schedule a consultation and discover how TVT, TOT, or Mini Sling procedures can improve your quality of life.