TVT-O versus Monarc after a 2–4-year follow-up: a prospective comparative study

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 eithe...

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Bibliographic Details
Published in:International Urogynecology Journal 2009-11, Vol.20 (11), p.1327-1333
Main Authors: Houwert, R. Marijn, Renes-Zijl, Charlotte, Vos, M. Caroline, Vervest, Harry A. M.
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Original
Original Article
Quality of life
Urinary incontinence
Urology
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Summary: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.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-009-0943-5