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Stress urinary incontinence (SUI) in females can be treated by transobturator (TOT) and transvaginal (TVT) placement of mid-urethral tapes. What does tot mean in urology? TRANSOBTURATOR TAPE (TOT) sling procedure is the gold standard for current surgical management of female stress urinary incontinence. TOT is simple, minimally invasive and cost effective procedure for current surgical management for female stress urinary incontinence. What does TVT mean in urology? The tension-free vaginal tape (TVT) procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra can remain closed with no accidental release of urine.