Occlusion Transversal

Transverse occlusion (OT) is a surgical procedure for urinary incontinence, which consists of fixing the symphysis pubis in full extension, pulling it upward as much as possible. When looking at a person from the front (or back), the scrotum will be located below the crest of the pubic bone above the symphysis pubis by approximately 2.5 cm. The upward movement of the symphysis pubis as the joint extends causes the penis and vaginal membrane to sink into the posterior commissure of the skin and thereby compress the back wall of the vagina, which leads to increased forces that absorb urine. In this regard, a reflex decrease in resistance to urine diversion occurs: an increase in pressure in the bladder does not lead to emptying of the bladder, but to the closure of the external sphincter. The simplest, but most common method is the palliative method of performing UT. At the initial stages of the operation (O. S. Shrayer’s operation or “genital circumcision”), the surgeon simply stitches the muscles of the external genitourethral diaphragm and then sutures them. This secures the genitals in the partially bandaged perineum, but at the same time makes it impossible for the patient to retain urine in the vagina.