Treatment Overview
Obtryx™ II Transobturator Sling Procedure in Korea, developed by Boston Scientific, is a modern and refined surgical solution for stress urinary incontinence (SUI) in women. This advanced system employs a tension-free polypropylene mesh sling placed under the mid-urethra using the transobturator (TOT) approach, providing effective and natural urethral support to prevent urinary leakage during exertion.
In Korea, the Obtryx™ II system is widely utilized in specialized uro-gynecology centers known for their precision and innovation. Surgeons use 3D endoscopic visualization, micro-tension calibration tools, and robotic-assisted placement systems to ensure accurate, minimally invasive, and long-lasting results.
Purpose & Benefits
Purpose:
- To correct stress urinary incontinence caused by urethral hypermobility or weak pelvic-floor muscles.
- To restore bladder control through secure mid-urethral support without tension or overcorrection.
- To provide a durable, minimally invasive surgical solution with low complication rates.
Benefits:
- Transobturator route avoids the retropubic space, minimizing risk of bladder or bowel injury.
- Tension-free mesh design ensures natural urethral mobility and function.
- Advanced delivery system allows precise, symmetric sling placement.
- Short operative time (typically 20–30 minutes).
- Reduced postoperative pain, faster recovery, and minimal scarring.
- In Korean clinics, enhanced with real-time 3D imaging, robotic guidance, and customized tension adjustment.
Ideal Candidates
The Obtryx™ II Transobturator Sling Procedure is ideal for:
- Women suffering from mild to moderate stress urinary incontinence.
- Patients with urethral hypermobility but adequate sphincter function.
- Postpartum or menopausal women with weakened pelvic-floor support.
- Patients who have not improved with non-surgical options such as EMS therapy, laser tightening, or pelvic physiotherapy.
- Women seeking a proven, minimally invasive, and fast-recovery solution for SUI.
Not suitable for:
- Severe intrinsic sphincter deficiency (ISD) or advanced pelvic-organ prolapse.
- Patients with active urinary tract infections or prior mesh complications.
- Individuals with uncontrolled chronic conditions affecting healing.
Possible Risks & Complications
The Obtryx™ II system is known for its safety and design improvements that reduce complications, but minor risks may include:
- Temporary urinary retention or difficulty voiding.
- Mild groin, thigh, or pelvic discomfort.
- Minor vaginal bleeding or bruising.
- Rare mesh exposure or infection.
- Transient urinary urgency or frequency.
Korean hospitals minimize these risks through precise intraoperative imaging, biocompatible mesh selection, and micro-tension adjustment techniques tailored to each patient.
Surgical Techniques Used
The Obtryx™ II procedure uses a transobturator (through-the-groin) approach to position the sling under the mid-urethra. Korea’s surgical centers are leaders in perfecting this technique using digital visualization and tension feedback systems for maximum safety and comfort.
Procedure Steps:
- A small incision (approximately 1–1.5 cm) is made beneath the mid-urethra in the vaginal wall.
- Two small punctures are made in the inner thigh crease, passing through the obturator foramen.
- The Obtryx™ II sling is introduced using specially designed delivery needles that minimize tissue trauma.
- The sling is positioned tension-free beneath the urethra for natural support.
- Sling tension is calibrated and excess mesh trimmed.
- Incisions are closed with absorbable sutures—leaving no visible scars.
Korean Surgical Enhancements Include:
- 3D endoscopic guidance for clear anatomic visualization.
- Micro-tension feedback systems ensuring precise, symmetrical placement.
- Flexible, low-friction mesh for smooth insertion and reduced irritation.
- Robotic-assisted sling positioning for precision in complex cases.
- Hybrid procedures combining sling placement with pelvic rejuvenation or laser therapy.
Commonly Used Techniques in Korea:
- Outside-In Transobturator Approach (Standard): Ensures stable urethral support.
- Inside-Out Variant: Used for specific anatomical preferences to minimize groin discomfort.
- Modified Obtryx™ II Hybrid Technique: Combines sling insertion with HIFU or RF pelvic-floor tightening for optimal results.
Recovery & Aftercare
Recovery:
- Performed as an outpatient or 1-day procedure.
- Minimal pain or swelling; patients typically resume light activities within 1–2 days.
- Full recovery and tissue healing occur within 4–6 weeks.
Aftercare:
- Avoid sexual intercourse, heavy lifting, and strenuous activities for 6 weeks.
- Maintain hydration and fiber intake to prevent constipation.
- Attend follow-up appointments at 1 week, 1 month, and 3 months to monitor healing and continence improvement.
- Korean hospitals often include pelvic rehabilitation therapies, such as EMS or biofeedback, to enhance long-term results.
Results & Longevity
Results:
- Significant improvement or complete resolution of urinary leakage.
- Natural urethral function maintained without obstruction.
- Enhanced pelvic support and restored confidence.
- Minimal discomfort and excellent aesthetic outcomes.
Longevity:
- Results last 10–15 years or longer, depending on patient lifestyle and tissue health.
- Low recurrence rates due to advanced mesh properties and Korean surgical precision.
- Regular pelvic exercises and rehabilitation can extend sling durability and effectiveness.
Treatment Process in Korea
Why Korea is a Top Destination:
- Korea is a global leader in uro-gynecologic and pelvic-floor reconstructive surgery.
- Surgeons are fellowship-trained in minimally invasive sling techniques and robotic continence procedures.
- Hospitals use the latest Obtryx™ II systems with real-time imaging and advanced fixation tools.
- Comprehensive care includes diagnosis, personalized surgery, and pelvic rehabilitation programs.
- High surgical precision, rapid recovery, and patient-centered comfort make Korea a preferred medical tourism destination.
Typical Procedure Flow:
- Consultation: Comprehensive pelvic examination, ultrasound, and urodynamic testing.
- Anesthesia: Local, spinal, or light general anesthesia depending on patient preference.
- Sling Placement: Obtryx™ II sling inserted via transobturator approach with 3D imaging guidance.
- Verification: Cystoscopic or endoscopic confirmation of correct sling positioning.
- Closure: Absorbable sutures used for invisible scarring.
- Observation: Short postoperative monitoring; same-day discharge is common.
- Follow-Up: Scheduled assessments at regular intervals for sling adjustment and recovery evaluation.
Unique Korean Innovations:
- 3D pelvic mapping and robotic guidance for ultra-precise sling placement.
- Micro-tension measurement systems preventing overcorrection.
- High-flexibility sling mesh for comfort and long-term integration.
- Hybrid pelvic care protocols combining surgery with laser or EMS rejuvenation.
- Aesthetic micro-suturing techniques for flawless recovery and scarless outcomes.
Cost Range (Details)
The cost of Obtryx™ II Transobturator Sling Surgery in Korea varies based on the hospital, surgical technique, and aftercare plan:
- Standard Obtryx™ II Sling Procedure: ₩ 4,000,000 – 6,000,000 KRW (≈ US $3,000 – $4,600)
- Advanced or Inside-Out Variant: ₩ 6,000,000 – 8,000,000 KRW (≈ US $4,600 – $6,100)
- Robotic-Assisted or Hybrid Procedure: ₩ 8,000,000 – 10,000,000 KRW (≈ US $6,100 – $7,600)
- Comprehensive Pelvic Rehabilitation Program: ₩ 10,000,000 – 12,000,000 KRW (≈ US $7,600 – $9,100)
Korea provides top-tier surgical outcomes and patient safety at globally competitive costs, supported by modern medical infrastructure and multilingual care services.
Popular Clinics in Korea
- University-affiliated women’s hospitals specializing in continence and pelvic reconstructive surgery.
- Gangnam uro-gynecology centers offering advanced Obtryx™ II sling procedures.
- Women-only hospitals integrating incontinence treatment with rejuvenation therapies.
- Postpartum rehabilitation centers focusing on pelvic muscle recovery and strengthening.
- International women’s health hospitals providing comprehensive care to global patients.
