Treatment Overview
The Pelvix Advanced TOT Sling is a next-generation transobturator mid-urethral sling system developed to effectively treat stress urinary incontinence (SUI) in women. Engineered with soft, biocompatible monofilament polypropylene mesh, the Pelvix Advanced Sling provides secure, tension-free urethral support through a transobturator (TOT) approach, which passes the sling laterally through the obturator foramen to reinforce the mid-urethra without entering the retropubic space.
In Korea, this advanced sling is used extensively in uro-gynecology centers and women’s health hospitals, where surgeons employ 3D endoscopic imaging, robotic assistance, and micro-tension adjustment technology for precise placement. The result is a minimally invasive, low-risk, and long-lasting solution for female urinary incontinence.
Purpose & Benefits
Purpose:
- To correct stress urinary incontinence caused by urethral hypermobility or weakened pelvic-floor support.
- To restore normal urinary control and prevent leakage during physical activities such as laughing, coughing, or exercise.
- To provide a durable, safe, and comfortable alternative to traditional retropubic sling procedures.
Benefits:
- Transobturator approach avoids the bladder and abdominal cavity, minimizing complications.
- Soft, lightweight mesh ensures excellent tissue integration and comfort.
- Short surgical time (typically 20–30 minutes) with same-day recovery.
- Tension-free mid-urethral support allows natural urination.
- High success rate (85–95%) with durable long-term outcomes.
- In Korea, the procedure benefits from robotic-guided alignment, micro-tension feedback systems, and precisely engineered mesh design suited to Korean anatomy.
Ideal Candidates
The Pelvix Advanced TOT Sling is ideal for:
- Women with mild to moderate stress urinary incontinence.
- Patients with urethral hypermobility or weakened pelvic-floor muscles after childbirth.
- Women unresponsive to conservative management (Kegel exercises, EMS, or laser tightening).
- Patients seeking a minimally invasive, quick-recovery solution for urinary leakage.
- Women desiring a procedure that offers strong results with minimal discomfort and downtime.
Not suitable for:
- Severe intrinsic sphincter deficiency (ISD) or advanced pelvic-organ prolapse.
- Active urinary tract infections or untreated pelvic inflammation.
- Patients with prior severe mesh complications or allergies to polypropylene materials.
Possible Risks & Complications
The Pelvix Advanced TOT Sling is considered safe and effective, but like all surgical procedures, minor risks exist, including:
- Temporary urinary retention or mild voiding difficulty.
- Mild groin or thigh discomfort post-surgery.
- Light vaginal bleeding or swelling.
- Rare cases of mesh exposure or infection.
- Temporary urinary urgency or frequency.
Korean clinics minimize these risks with 3D-guided visualization, refined mesh placement, and strict sterilization and biocompatibility standards.
Surgical Techniques Used
The Pelvix Advanced TOT Sling Procedure uses a transobturator (through-the-groin) technique that provides strong support under the mid-urethra while minimizing surgical trauma. Korean specialists enhance this procedure with precision imaging and micro-controlled tensioning systems.
Procedure Steps:
- A small vaginal incision (about 1–1.5 cm) is made beneath the mid-urethra.
- Two small punctures are created at the inner thighs near the groin creases.
- The Pelvix Advanced Sling is inserted via curved introducer needles through the obturator foramen.
- The sling is positioned tension-free beneath the urethra for natural support.
- Mesh tension is carefully adjusted to ensure proper closure without urinary obstruction.
- The incisions are closed with absorbable sutures, leaving no visible scars.
Korean Surgical Enhancements Include:
- 3D endoscopic visualization to ensure anatomical precision.
- Micro-tension calibration devices to fine-tune sling tension.
- Ultra-soft mesh material that adapts naturally to pelvic tissue.
- Robotic-assisted placement systems for complex or recurrent SUI cases.
- Hybrid pelvic procedures combining sling placement with rejuvenation or EMS therapies for comprehensive pelvic-floor care.
Commonly Used Techniques in Korea:
- Standard Outside-In Transobturator Approach: Ensures stable sling positioning.
- Inside-Out Variant: Minimizes soft-tissue trauma and postoperative discomfort.
- Modified Pelvix Advanced Hybrid Approach: Combines sling placement with non-surgical rejuvenation therapies for holistic pelvic restoration.
Recovery & Aftercare
Recovery:
- Outpatient or short-stay surgery with minimal discomfort.
- Light activity may resume within 1–2 days.
- Full recovery and tissue healing occur within 4–6 weeks.
Aftercare:
- Avoid sexual activity, heavy lifting, or strenuous exercise for 6 weeks.
- Maintain good hydration and prevent constipation to avoid pelvic strain.
- Attend follow-up visits at 1 week, 1 month, and 3 months post-surgery.
- Korean hospitals often offer postoperative pelvic physiotherapy, EMS training, or biofeedback to enhance long-term outcomes.
Results & Longevity
Results:
- Noticeable improvement in bladder control soon after surgery.
- Restoration of natural urethral support and continence during physical exertion.
- Minimal pain, scarring, or downtime.
- Enhanced pelvic strength and quality of life.
Longevity:
- Durable results lasting 10–15 years or more.
- High mesh integrity ensures long-term tissue integration.
- Regular pelvic exercises and professional follow-up enhance results.
- Korean techniques, which emphasize precision placement and balanced tension, ensure low recurrence rates.
Treatment Process in Korea
Why Korea is a Top Destination:
- Korea is globally known for its expertise in uro-gynecology, pelvic-floor surgery, and continence treatment.
- Surgeons are fellowship-trained in advanced mid-urethral sling systems.
- Hospitals use Pelvix Advanced systems equipped with precision introducers, ergonomic handles, and real-time imaging.
- Korean clinics integrate functional, aesthetic, and rehabilitative medicine, offering comprehensive pelvic-floor care.
- Internationally accredited facilities provide multilingual support, transparent pricing, and patient-centered service.
Typical Procedure Flow:
- Consultation: Includes physical examination, ultrasound, and urodynamic testing.
- Preoperative Planning: Customization of sling tension and surgical route based on anatomy.
- Anesthesia: Local, spinal, or light general anesthesia as needed.
- Sling Placement: Pelvix Advanced Sling inserted through the obturator route using endoscopic guidance.
- Verification: Sling alignment confirmed via cystoscopy or ultrasound.
- Closure: Incisions closed with absorbable sutures for a smooth aesthetic result.
- Follow-Up: Routine assessments for healing, bladder function, and continence improvement.
Unique Korean Innovations:
- Robotic micro-guided sling systems for enhanced precision.
- 3D pelvic imaging and navigation for exact tension placement.
- High-flexibility Korean-engineered mesh for superior comfort.
- Integrated postoperative pelvic recovery programs with EMS and physiotherapy.
- Aesthetic micro-suturing for invisible scarring and optimal healing.
Cost Range (Details)
The cost of Pelvix Advanced TOT Sling Surgery in Korea depends on the surgical approach, hospital type, and recovery package:
- Standard TOT Sling Procedure: ₩ 4,000,000 – 6,000,000 KRW (≈ US $3,000 – $4,600)
- Advanced or Inside-Out Approach: ₩ 6,000,000 – 8,000,000 KRW (≈ US $4,600 – $6,100)
- Robotic-Assisted or Hybrid Technique: ₩ 8,000,000 – 10,000,000 KRW (≈ US $6,100 – $7,600)
- Comprehensive Pelvic Rehabilitation Package: ₩ 10,000,000 – 12,000,000 KRW (≈ US $7,600 – $9,100)
Korea’s world-class medical standards, advanced technology, and experienced surgeons make this a cost-effective yet premium-quality solution for women seeking incontinence treatment.
Popular Clinics in Korea
- University-affiliated women’s hospitals offering advanced pelvic-floor and incontinence surgeries.
- Gangnam uro-gynecology centers specializing in TOT and hybrid sling systems.
- Women-only health and rejuvenation clinics integrating function and aesthetics.
- Postpartum pelvic rehabilitation hospitals offering sling surgery with physiotherapy programs.
- International women’s medical centers catering to global patients with personalized treatment plans.
