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Related Experiment Videos

Does the MONARC transobturator suburethral sling cause post-operative voiding dysfunction? A prospective study.

Christopher Barry1, Aruku Naidu, Yik Lim

  • 1Department of Obstetrics and Gynaecology, James Cook University, PO Box 670, Townsville, QLD, 4810, Australia. christopher.barry@jcu.edu.au

International Urogynecology Journal and Pelvic Floor Dysfunction
|August 12, 2005
PubMed
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The MONARC transobturator tape (TOT) procedure for stress incontinence may reduce adjusted urine flow rates, but patient satisfaction remains high with no significant short-term increase in voiding dysfunction.

Area of Science:

  • Urogynecology
  • Female Pelvic Medicine

Background:

  • Urodynamic stress incontinence (USI) significantly impacts women's quality of life.
  • Transobturator tape (TOT) procedures are common surgical interventions for USI.

Purpose of the Study:

  • To evaluate pre-operative and post-operative voiding parameters in women undergoing MONARC TOT insertion for USI.
  • To assess the impact of MONARC TOT on objective and subjective measures of voiding function.

Main Methods:

  • Prospective observational study of 83 women with USI.
  • Assessment of voiding parameters including maximum flow rate (Qmax), adjusted Qmax (Qmaxadj) using the Liverpool nomogram (LN), and post-void residual (PVR) pre-operatively and at 6-8 weeks post-operatively.

Main Results:

Related Experiment Videos

  • Adjusted maximum flow rate (Qmaxadj) significantly decreased post-operatively (26 ml/s to 18 ml/s, p<0.05).
  • No significant changes were observed in post-void residual (PVR) or the proportion of women with flow rates below the 10th centile on LN.
  • Only one patient (1.2%) was diagnosed with voiding dysfunction post-operatively, which was not statistically significant.

    • Conclusions:

    • Insertion of the MONARC TOT leads to a significant reduction in adjusted free flow rates.
    • Despite objective changes in flow rates, patient satisfaction remains high, with no statistically significant increase in short-term voiding dysfunction.
    • Long-term follow-up is necessary to fully assess the impact on voiding parameters.