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This operation involves an incision in the lower part of the tummy. Stitches are placed inside the pelvis to help to support the opening of the bladder during exercise or coughing. The success rate of this operation is about the same as for mid-urethral slings (eg TOT), but it is a bigger procedure with a longer recovery time. However, this operation may be preferable in certain patients.

Colposuspension may be recommended in the following circumstances:

  1. Patients who want to avoid using a synthetic tape such as TVT or TOT
  2. When TVT or TOT have not been successful, or have caused problems.
  3. When there is severe tissue damage from previous surgery or radiotherapy which would make a vaginal tape more difficult.
  4. Patient preference

These are relatively uncommon circumstances.