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Related Experiment Video

Updated: Mar 8, 2026

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A sequential comparison of postoperative voiding function between two different transobturator sling procedures.

Don Kyoung Choi1, Ha Bum Jung1, Young Goo Lee1

  • 1Department of Urology, College of Medicine, Hallym University, Seoul, Korea.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|January 19, 2017
PubMed
Summary
This summary is machine-generated.

The Monarc sling procedure may improve early postoperative voiding function compared to the ALIGN sling in patients with stress urinary incontinence, potentially due to its absorbable tensioning suture.

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Area of Science:

  • Urology
  • Female Pelvic Medicine
  • Surgical Innovation

Background:

  • Stress urinary incontinence (SUI) affects many women.
  • Sling procedures are common surgical treatments for SUI.
  • Evaluating postoperative voiding function is crucial for assessing treatment outcomes.

Purpose of the Study:

  • To compare the sequential postoperative voiding function of two sling procedures: Monarc® and ALIGN®.
  • To determine if the Monarc sling offers advantages in early voiding recovery compared to the ALIGN sling.

Main Methods:

  • A randomized study of 91 women with urodynamic stress incontinence.
  • Patients underwent either the Monarc or ALIGN sling procedure.
  • Voiding function was assessed postoperatively using uroflowmetry and post-void residual measurements at multiple time points up to 24 months.

Main Results:

  • Both groups showed an initial decrease in maximal flow rate (Qmax) post-surgery, followed by gradual improvement.
  • At one week, the Monarc group exhibited a significantly higher Qmax than the ALIGN group (p=0.004).
  • No significant differences in Qmax were observed between the groups at one, three, 12, and 24 months post-surgery.

Conclusions:

  • The Monarc sling, featuring an absorbable tensioning suture, demonstrated improved early postoperative maximal flow rate compared to the ALIGN sling.
  • An absorbable tensioning suture may mitigate the risk of early postoperative voiding dysfunction.
  • These findings suggest potential benefits of the Monarc sling's design for immediate functional recovery.