Surgical treatment of urinary incontinence

Incontinence is a big problem not only from the health and hygienic point of view but also from social reasons. Uncontrollable leakage leaves you with a damp feeling all day which might negatively influence your everyday life and self-confidence.

When talking about older people, 40% female and 20% male patients deal with incontinence. Besides these, the number of young female patients rises every year.

At GynCentrum, you will first visit us for a consultation and gynecological examination. After that, a proposition of treatment will follow. More about the diagnosis can be found here.

The surgical treatment by TOT or TVT technique is offered to patients for whom a conservative method or treatment by medicaments are not recommended.

Surgical treatment of urinary incontinence by TOT and TVT technique

The most common surgical procedure is TOT - Trans-Obturator Tape. During the surgery, a mesh (prolene) tape is placed underneath the urethra so that it acts as a support. It keeps the urethra closed off when laughing, coughing, sneezing or exercising.

The biggest advantage is that with the TOT method, the risk of harming the bladder is at minimum when compared with previously used TVT (Tension Free Vaginal tape) method.

Nowadays, TOT approach is a new Gold Standard in treating of female stress urinary incontinence.

There are two small incisions made to insert the TOT tape. The tape lies freely and functions only when there is any excessive intra-abdominal pressure during which the urethra has a tendency to decrease downwards. The urethra closes by applying the pressure on the tape and that’s to that there is no accidental leakage.

The procedure is carried out under a short 15 minute general anesthesia. The hospitalization is usually only for one night followed by a fast recovery. The recommended downtime after surgery is 1-2 weeks depending on a personal feeling. The success rate of this treatment is between 80-90 %.


For patients insured in the Czech Republic, the whole treatment is covered by the health insurace. The only extra payment may be needed for medication. For foreign patients without local insurance, please contact the receptions for more information or use our contact form.

Our clinic has a contract with the following health insurance companies:
111 Všeobecná zdravotní pojišťovna ČR
201 Vojenská zdravotní pojišťovna ČR
205 Česká průmyslová zdravotní pojišťovna ČR
207 Oborová zdravotní pojišťovna zaměstnanců bank, pojišťoven a stavebnictví
211 Zdravotní pojišťovna ministerstva vnitra ČR
213 Revírní bratrská pokladna, zdravotní pojišťovna




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