The premium solution to treat
female SUI.

Designed to provide surgeons with
a versatil and safer procedure.


Steema systems allow surgeons to choose the best surgical approach for each patient: Steema Dual TOT Sling System for transobturator approach (to be used either in-out or out-in), and Steema Retropubic Sling System for vaginal (retropubic) approach.

Resources to download


Steema Dual TOT Sling System Steema Retropubic Sling System

Instructions for Use

Ordering information

STEEMA Dual TOT Sling System

Product code: KIT-STEEMA-T PLUS

  1. 1 STEEMA Sling
  2. 2 Needles STEEMA
  3. 1 Urethral Protector


Product code: KIT-STEEMA-VS

  1. 1 needle STEEMA RETROPUBIC with handle
  2. 1 STEEMA sling

Surgical technique

This video aims to provide general guidance to medical professionals only.
By clicking the “I accept” button, you confirm to understand and accept this affirmation and our TERMS OF USE.

For the complete instructions, please refer to our “Instructions for use” provide with each device.

Steema Retropubic 3D Animation

Steema Retropubic-Surgical Procedure

Steema Dual TOT In - Out 3D Animation

Steema Dual TOT In - Out - Surgical technique

Steema Dual TOT Out - In 3D Animation

Steema Dual TOT Out - In - Surgical technique

01 . Steema Retropubic Needle



Three Steps Maneuver


The 3.6 mm needle, provides controlled and safe passage through the retropubic space.


A design that facilitates needle passage.

02 . Steema TOT needles

T-shaped eyelet

Reduced Needle Diameter

The small diameter (3mm) of the needle facilitates passage and causes less tissue disruption.


Ergonomic design ensures precise, controlled maneuvering.

03 . Steema Slings

Polypropylene Type I Mesh

Thermosealed edges that provide better structural support. Low elasticity design.

Positioning Tab

Provides a controlled and easy tensioning of the sling. Removable

Dilator (Steema Dual TOT Sling System)

Ensures a smoother sling passage.

Protective Sheath

Minimizes tissue damage when passing the sling

Green Connector Arm (Steema Retropubic Sling System)

Ensures the clearest contrast during Cystoscopy

04 . The Urethral protector

Urethral protector (Steema Dual TOT Sling System)

Ergonomic grip. Insertion mark.