TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study.
OBJECTIVE
The aim of this study was to compare outcome and quality of life of tension-free vaginal tape "inside-out" (TVT-O) and Monarc transobturator tapes after 2-4 years.


METHODS
The method used was a prospective comparative study. Participants (n = 191) were assigned to either a TVT-O (n = 93) or a Monarc (n = 98) procedure. Cure of stress urinary incontinence (SUI) was defined as the statement of the woman of not experiencing any loss of urine upon physical exercise.


RESULTS
Cure rates after 2-4 years were 72% for TVT-O and 65% for Monarc, while improvement was observed in, respectively, 12% and 21% (p = 0.3). There was a statistically significant improvement in quality of life but no differences were found between both procedures.


CONCLUSIONS
After a 2-4-year follow-up period, both procedures were equally safe and effective in curing SUI.
Houwert
R Marijn
RM
Department of Obstetrics and Gynecology, St Elisabeth Hospital Tilburg, Rooseveltlaan 35 III 1079 AC, Amsterdam, The Netherlands. marijnhouwert@hotmail.com
Renes-Zijl
Charlotte
C
Vos
M Caroline
MC
Vervest
Harry A M
HA
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D053825:Suburethral Slings / Q000009:adverse effects; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*