title: Surgical treatment of female stress urinary incontinence with a transobturator tape (Monarc): short-term results of a prospective multicenter study.
abstract: OBJECTIVE
  Transobturator tape (TOT) kits approved as medical instruments are still not available in Japan. This study aimed to: (1) assess the outcomes of TOT using Monarc (American Medical Systems; AMS Inc, Minnetonka, MN, USA) in women with stress urinary incontinence (SUI); (2) evaluate possible different surgical outcomes in women with urethral hypermobility (UH) and/or intrinsic urethral deficiency (ISD); and (3) evaluate the possibility of improvement of preoperative urgency and urge urinary incontinence after TOT in mixed urinary incontinence (MUI).
  
  
  METHODS
  Data from 140 women with SUI in a prospective multicenter study were examined at 3-6 months follow-up.
  
  
  RESULTS
  82.1% of the patients were cured and 10.7% showed improvement. The surgical outcome was significantly better in UH than in UH combined with ISD or ISD. In 44 MUI patients, 79.6% were cured and 15.9% showed improvement. Urgency improved in about 75% of patients after TOT.
  
  
  CONCLUSIONS
  TOT is effective for both SUI and MUI, with urgency improving.
authors.affiliation: Department of Urology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan. tomoeur@dnh.twmu.ac.jp
authors.forename: Hikaru
authors.initials: H
authors.lastname: Tomoe
authors.forename: Kumiko
authors.initials: K
authors.lastname: Kato
authors.forename: Naoki
authors.initials: N
authors.lastname: Oguchi
authors.forename: Mineo
authors.initials: M
authors.lastname: Takei
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sekiguchi
authors.forename: Yasukuni
authors.initials: Y
authors.lastname: Yoshimura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007564:Japan; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*