Surgical Treatment of Female Stress Urinary Incontinence with a Transobturator Tape: Short Term Results

ABSTRACT

PURPOSE: The aim of the study was to assess the efficacy and safety of a new minimally invasive surgery with an outside-in transobturator tape (Monarc(R)). MATERIALS AND METHODS: 26 women with stress urinary incontinence associated with urethral hypermobility were operated and 6 months of mean follow-up was available. The mean age was 49.6 years (36~65). All patients were assessed before surgery by clinical and urodynamic examination 6 patients presented with intrinsic sphincter deficiency (Valsalva leak point pressure 20% of volume voided. RESULTS: 22/26 patients (84.6%) were cured and 4/26 (15.4%) were improved. Mean operating time was 23 minutes. Only intra-operative complication was a vaginal wall penetration in one patient. Post-operative vaginal erosion lasting more than 2 weeks occurred in two patients. 2 cases of de novo urgency occurred. There was no bladder outlet obstruction after surgery. CONCLUSION: Monarc(R) tansobturator tape is a simple, safe and effective procedure confirmed by 6 months of mean follow-up. Longer follow-up is needed to validate this technique.