Comparison of suprapubic versus transobturator surgical treatments of female stress urinary incontinence.
OBJECTIVE
The aim of this study was to retrospectively compare surgical outcomes of the suprapubic arc sling (SPARC) and transobturator suburethral tape (MONARC) for treatment of stress urinary incontinence (SUI) in women.


METHODS
A total of 74 women treated for SUI using MONARC were compared with 32 treated using SPARC. Postoperative evaluations were conducted at 3-6 months, including 1-hour pad test, cough stress test, uroflowmetry and residual urine volume. Subjective outcomes were evaluated using telephone interviews. Perioperative complications were investigated from chart records.


RESULTS
No significant difference was found between the SPARC and MONARC treatment groups in terms of the objective cure rate at 3 months postoperatively (90.6% vs. 80.6%; p = 0.258). However, a significant difference was found between the subjective cure rates of the SPARC and MONARC groups (77.4% vs. 97.3%; p < 0.05).


CONCLUSIONS
Both MONARC and SPARC are safe and effective for surgical treatment of SUI.
Sun
Mou-Jong
MJ
Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan.
Chang
Ning-En
NE
Chen
Gin-Den
GD
Tsai
Horng-Der
HD
D000328:Adult; D005260:Female; D006801:Humans; D017060:Patient Satisfaction; D011474:Prosthesis Design; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics