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Related Experiment Videos

TVT vs Monarc: a comparative study.

Hans Peter Dietz1, Christopher Barry, Yik Lim

  • 1Department of Obstetrics and Gynaecology, Western Clinical School, Nepean Campus, University of Sydney, Nepean Hospital, Penrith NSW 2750, Sydney, Australia. hpdietz@bigpond.com

International Urogynecology Journal and Pelvic Floor Dysfunction
|March 10, 2006
PubMed
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The Monarc transobturator tape offers an effective alternative to tension-free vaginal tape (TVT) for treating stress incontinence. Patients reported higher satisfaction and fewer voiding issues with the Monarc approach.

Area of Science:

  • Urogynecology
  • Minimally Invasive Surgery
  • Pelvic Floor Disorders

Background:

  • The tension-free vaginal tape (TVT) procedure is a common treatment for stress urinary incontinence.
  • Modifications like the transobturator approach (Monarc) aim to improve outcomes and reduce complications.

Purpose of the Study:

  • To compare the anatomical and clinical differences between TVT and Monarc procedures.
  • To evaluate patient satisfaction, subjective cure rates, and objective outcomes.

Main Methods:

  • Retrospective cohort study of 114 women undergoing TVT or Monarc implantation.
  • Standardized tensioning technique used for both groups.
  • Follow-up included interviews, uroflowmetry, and translabial 3D ultrasound.

Related Experiment Videos

Main Results:

  • Monarc group showed significantly higher patient satisfaction (P=0.013) and subjective cure/improvement (P=0.0018).
  • Fewer patients in the Monarc group reported poor stream symptoms (P=0.03).
  • Ultrasound revealed Monarc tapes were more proximal and further from the symphysis pubis during Valsalva maneuver.

Conclusions:

  • The Monarc procedure is an effective alternative to TVT for stress incontinence.
  • The Monarc approach may lead to less obstruction and improved patient satisfaction.
  • Both techniques achieve similar cure rates for stress incontinence at 9 months.