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TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study
R Marijn Houwert1, Charlotte Renes-Zijl, M Caroline Vos
1Department of Obstetrics and Gynecology, St Elisabeth Hospital Tilburg, Rooseveltlaan 35 III 1079 AC, Amsterdam, The Netherlands. marijnhouwert@hotmail.com
Introduction And Hypothesis:
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.
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