Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study.
The aim of the study was to compare the efficacy and complications of the Transobturator tape (Monarc) vs the tension-free vaginal tape obturator (TVT-O) in women with urodynamic stress incontinence. A prospective, randomized study was conducted. One-hundred and twenty patients were included in the study, and 114 of them were available at 12 months follow-up. Sixty-one patients were subjected to the TVT-O procedure and 53 to the Monarc procedure. Subjective and objective cure and improvement rate and complications incidence were assessed. The objective cure rate was 87% for the TVT-O procedure and 90% for the Monarc group. The subjective cure rate was 80% for the TVT-O group and 77% for the Monarc group. The improvement was 13 and 11.5% for the TVT-O and Monarc groups, respectively. There was one accidental injury to the urethra with the Monarc technique. The Monarc technique presents success rates and complications comparable to the TVT-O method at 1 year follow-up.
2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Athens, Greece. eurotas@panafonet.gr
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Liapis
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Bakas
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Creatsas
D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D011474:Prosthesis Design; D053825:Suburethral Slings / Q000009:adverse effects; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000503:physiopathology