TVT vs Monarc: a comparative study

International Urogynecology Journal and Pelvic Floor Dysfunction
Hans Peter DietzAjay Rane

Abstract

Following the success of the tension-free vaginal tape (TVT), there has been considerable interest in technique modifications such as the transobturator approach for implant placement. We attempted to elucidate possible anatomical and clinical differences between the two methods in a retrospective cohort study. One hundred and fourteen women who had undergone TVT or Monarc implantation were assessed by or under the supervision of the senior author, with identical tensioning technique. They were followed up by an interview, uroflowmetry, and translabial 3D ultrasound. There were significant differences for patient satisfaction (P=0.013), subjective overall cure/improvement (P=0.0018), and the symptom of poor stream (P=0.03), all favoring the Monarc group. On imaging Monarc tapes appeared more proximal at rest (P=0.006) and Valsalva (P=0.002) and remained further from the symphysis pubis on Valsalva (P=0.01). At 9 months follow-up, there was no significant difference as regards to cure rates for stress incontinence between the two suburethral slings. Monarc tapes are located more proximally and may be less obstructive, judging from a lower incidence of symptoms of voiding dysfunction. Patient satisfaction and overall subjective c...Continue Reading

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Citations

Mar 9, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Michele MeschiaGianfranco Minini
Apr 28, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Andrew Feifer, Jacques Corcos
Jun 16, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·J DuckettM Vella
Aug 2, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·A LiapisG Creatsas
Apr 1, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Gautier CheneAslam Mansoor
Feb 25, 2010·International Urogynecology Journal·Jonathan R A Duckett, Maya Basu
Oct 23, 2010·International Urogynecology Journal·Varisara ChantarasornHans Peter Dietz
Apr 23, 2011·International Urogynecology Journal·Hans Peter Dietz
Aug 19, 2011·International Urogynecology Journal·Xiang YangLingyun Shao
Oct 30, 2009·Current Urology Reports·Bernard T Haylen
Jun 4, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jenn-Ming YangChii-Ruey Tzeng
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Jun 10, 2011·International Urogynecology Journal·Hans Peter Dietz
Mar 3, 2015·Female Pelvic Medicine & Reconstructive Surgery·Elena Tunitsky-BittonMark D Walters
May 19, 2021·International Urogynecology Journal·Tsia-Shu LoYiap Loong Tan
Jun 15, 2007·Current Opinion in Urology

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