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The transobturator tape (TOT or Monarc) sling procedure aims to eliminate stress urinary incontinence by providing support under the urethra. The minimally-invasive procedure eliminates retropubic needle passage and involves inserting a mesh tape under the urethra through three small incisions in the groin area.
The transvaginal mesh is inserted through the obturator foramen to avoid damage of pelvic organs, and brought out to the skin in the groin area. [15] Since 2008, mini-slings with single vaginal incision have been introduced to reduce complications without comprising the successful rate. [14] [16]
The internal pudendal vessels and pudendal nerve cross the pelvic surface of the internal obturator and are enclosed in a special canal—Alcock's canal—formed by the obturator fascia. The iliococcygeus portion of the levator ani attaches to the lateral walls of the pelvis via the obturator fascia through the tendinous arch of the obturator ...
The obturator sign, also called Cope's obturator test, is an indicator of irritation to the obturator internus muscle. [1] The technique for detecting the obturator sign, called the obturator test, is carried out on each leg in succession. The patient lies on her/his back with the hip and knee both flexed at ninety degrees.
The obturator membrane is a thin fibrous sheet, which almost completely closes the obturator foramen.. Its fibers are arranged in interlacing bundles mainly transverse in direction; the uppermost bundle is attached to the obturator tubercles and completes the obturator canal for the passage of the obturator vessels and nerve.
Surgical tape or medical tape is a type of pressure-sensitive adhesive tape [1] used in medicine and first aid to hold a bandage or other dressing onto a wound. These tapes usually have a hypoallergenic adhesive which is designed to hold firmly onto skin, dressing materials, and underlying layers of tape, but to remove easily without damaging ...
The obturator vein begins in the upper portion of the adductor region of the thigh and enters the pelvis through the upper part of the obturator foramen, in the obturator canal. It runs backward and upward on the lateral wall of the pelvis below the obturator artery , and then passes between the ureter and the internal iliac artery , to end in ...
The external obturator muscle or obturator externus muscle (/ ˌ ɒ b tj ʊəˈr eɪ t ər ɪ k ˈ s t ɜːr n ə s /; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis. It is sometimes considered part of the medial compartment of thigh, [1] and sometimes considered part of the gluteal region. [2]