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this animation is brought to you by the nucleus medical art library or enmol where you can download this animation and thousands of medical images and videos created by nucleus medical media to apply for a free 30-day trial click on the link in the description if you have stress urinary incontinence your doctor may advise you to have a trans obturator tape or tot stress urinary incontinence means your bladder leaks urine during physical activity to start the procedure the surgeon will make two small incisions in your groin another small incision will be made in your vagina a needle will be passed through this incision into your body and out of one of the incisions in your groin a mesh tape attached to the needle will be pulled along this path then a needle attached to the other end of the tape will repeat this procedure on the other side once the tape is in place your surgeon will adjust it behind your urethra to provide support the ends of the tape will be cut just beneath your skin a