title: Transobturator tape for stress incontinence: the North Queensland experience.
abstract: A prospective observational study of 96 patients undergoing insertion of the MONARC transobturator tape (American Medical Systems, Minnetanka, USA) for treatment of urodynamic stress incontinence was conducted to investigate its' the safety and efficacy. Although there were no major intraoperative complications, sling protrusion was observed in 11/91 patients (12.1%) at early follow up visits. At these visits, 80 women (87.9%) were either completely or substantially continent and 74 women (81.3%) were satisfied with the operation. Objectively, 74 women (81.3%) were cured on urodynamic assessment and only one woman (1.1%) was found to have voiding dysfunction. As a conclusion, it would appear that this new technique is effective for the treatment of stress incontinence; but further studies are needed to investigate its long-term results and complications.
authors.affiliation: Department of Urogynaecology, James Cook University, Townsville, Australia.
authors.forename: Aruku
authors.initials: A
authors.lastname: Naidu
authors.forename: Yik Nyok
authors.initials: YN
authors.lastname: Lim
authors.forename: Christopher
authors.initials: C
authors.lastname: Barry
authors.forename: Samuel
authors.initials: S
authors.lastname: Goodwin
authors.forename: Audrey
authors.initials: A
authors.lastname: Corstiaans
authors.forename: Ajay
authors.initials: A
authors.lastname: Rane
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011336:Probability; D011446:Prospective Studies; D011788:Quality of Life; D018570:Risk Assessment; D012720:Severity of Illness Index; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*