TVT is commonly used in the retropubic procedure. Drs. Kimble will make a small incision in your vagina near the midpoint of your urethra and pass both ends of the synthetic mesh sling through the incision on either side of the urethra. Each end of the sling is then passed through two small incisions made above your pubic bone.
For the transobturator (TOT) technique, the mesh is placed below the urethra in the same fashion as the TVT, but the ends of the synthetic mesh are passed through incisions made in the groin region.