Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers

Abstract

In women, stress urinary incontinence is the most common subtype of urinary incontinence. Trans-obturator slings can be usedfor minimally invasive treatment of stress urinary incontinence. The aim of this procedure is to place the mesh through the obturator foramen and underneath the mid part of the urethra with minimal damage to surrounding tissues. There are remarkablevariations in the bony architecture of the female pelvis, and this variability may have an important effect on sling operations.Understanding the surgical anatomy of the obturator foramen, pelvic floor and perineum is necessary to make a successfulimplantation of transobturator tape and minimize morbidity. Cadaveric dissections are helpful to demonstrate anatomic land marks.

Keywords

• cadaveric dissection
• obturator foramen
• stress urinary incontinence (SUI)
• trans-obturator tape (TOT)

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18. Correspondence to: Mustafa F. Sargon, MD, PhD
19. Department of Anatomy, Faculty of Medicine,
20. Hacettepe University, Ankara, Turkey
21. Phone: [phone] Fax: [phone]
22. e-mail: [e-mail]
23. Conflict of interest statement: No conflicts declared.
24. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC
25. ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any
26. medium, provided the original work is properly cited. Please cite this article as: Huri E, Ezer M, Aydo¤an B, Tatar ‹, Sargon MF. Anatomic transobturator
27. tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers. Anatomy 2015;9(1):38–41.