OJOG  Vol.3 No.9 , November 2013
A retrospective comparative series comparing monarc and sparc suburethral slings
Author(s) Andrew Foote
ABSTRACT

A Retrospective Comparative Series Comparing Monarc and Sparc Suburethral Slings. Introduction and Hypothesis: There are a number of suburethral slings used in current practice to treat female urinary incontinence. To date there has been a lack of larger comparative series. This paper aims to evaluate the effectiveness and complications of two types of suburethral sling. Methods: A retrospective comparative series comparing 113 consecutive Sparcsuburethral slings with 112 consecutive Monarc slings. Results: The success rate of SparcvsMonarc was similar at 6 weeks (96.1% vs 94.2%, NS) and at 6 months (96.0% vs 92.6%, NS). The Monarc procedure had less intraoperative bladder fenestrations & less postoperative urgency. Conclusions: Both procedures had a similar success rate, while the Monarc had less complications. Brief Summary: Both procedures had a similar success rate, while the Monarc had less complications of intraoperative bladder fenestration & postoperative urgency.


Cite this paper
Foote, A. (2013) A retrospective comparative series comparing monarc and sparc suburethral slings. Open Journal of Obstetrics and Gynecology, 3, 702-705. doi: 10.4236/ojog.2013.39129.
References
[1]   Ulmsten, U. and Petros, P. (1995) Intravaginalslingplasty (IVS). An ambulatory surgical procedure for treatment of female urinary incontinence. Scandinavian Journal of Urology and Nephrology, 29, 75-82. http://dx.doi.org/10.3109/00365599509180543

[2]   Ward, K.L. and Hilton, P. (2004) A prospective multicentre randomised trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence. American Journal of Obstetrics & Gynecology, 190, 324-331. http://dx.doi.org/10.1016/j.ajog.2003.07.029

[3]   Delorme E. (2001) Transobturator urethral suspension. Mini-invasive procedure in the treatment of stress urinary incontinence. Progres en Urologie, 11, 1306-1313

[4]   Novara, G., Artibani, W., Barber, M.D., et al. (2010) Updated systemic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral slings in the surgical treatment of female stress urinary incontinence. European Urology, 58, 218-238. http://dx.doi.org/ 10.1016/j.eururo.2010.04.022

[5]   Ogah J, Cody DJ, Rogerson L. (2011) Minimally invasive systheticsuburethral sling operations for stress urinary incontienence: A short version Cochrane review. Neurourology and Urodynamics, 30, 284-291. http://dx.doi.org/10.1002/nau.20980

[6]   SchraffordtKoops, S., Bisseling, T., Heintz, A., et al. (2005) Prospective analysis of complications of tension free vaginal tape from the Netherlands tension free vaginal tape study. American Journal of Obstetrics & Gynecology, 193, 45-53. http://dx.doi.org/10.1016/j.ajog.2004.11.004

[7]   Abouassaly, R., Jordan, R., Steinberg, R., et al. (2004) Complications of tension free vaginal tape surgery: A multi-institutional review. BJU International, 94, 110-113. http://dx.doi.org/10.1111/ j.1464-410X.2004.04910.x

[8]   Nilsson, C. and Kuuva, N. (2001) The tension free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinence. BJOG, 108, 414-9. http://dx.doi.org/10.1111/j.1471-0528.2001.00092.x

[9]   Niknejad, K., Plzak, L., Staskin, D., et al. (2002) Autologous and synthetic urethral slings for female incontinence. Urologic Clinics of North America, 29, 597-611. http://dx.doi.org/10.1016/S0094-0143(02)00074-5

[10]   Latthe, P.M., Foon, R. and Toozs-Hobson, P. (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: A systematic review and metaanalysis of effectiveness and complications. BJOG, 114, 522-531. http://dx.doi.org/10.1111/j.1471-0528.2007.01268.x

[11]   Wang, A.C., Lin, Y.H., Tseng, L.H., et al. (2006) Prospective randomised comparison of transobturatorsuburethral sling (Monarc) vssuprapubic arc (Sparc) sling procedures for female urodynamic stress incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction, 17, 439-443. http://dx.doi.org/10.1007/s00192-005-0035-0

[12]   Kim, Y., Na, Y. and Sul, C. (2005) Randomised prospective study between pubovaginal sling using SPARC sling system and MONARC sling system for the treatment of female stress urinary incontinence: Short term results. Korean Journal of Urology, 46, 1078-1082

[13]   Botros, S.M., Miller, J.R., Goldberg, R.P., et al. (2007) Detrusor overactivity and urge urinary incontinence following transobturator versus midurethral slings. Neurourology and Urodynamics, 26, 42-45. http://dx.doi.org/10.1002/nau.20377

[14]   Rapp, D.E., Govier, F.E. and Kobashi, K.C. (2009) Outcomes following mid-urethral sling placement in patients with intrinsic sphincter deficiency: Comparison of Sparc withMonarc slings. International Brazilian Journal of Urology, 35, 68-75. http://dx.doi.org/10.1590/S1677-55382009000100011

[15]   Rinne, K., Laurikainen, E., Kivela, A. et al. (2008) A randomised trial comparing TVT with TVT-O: 12 month results. International Urogynecology Journal, 19, 1049-1054

[16]   Araco, F., Gravante, G., Sorge, R., et al. (2008) TVT-O vs TVT: A randomized trial in patients with different degrees of urinary stress incontinence. International Urogynecology Journal, 19, 917-926. http://dx.doi.org/10.1007/s00192-007-0554-y

[17]   Liapis, A., Bakas, P., Giner, M. and Creatsas, G. (2006) Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecologic & Obstetric Investigation, 62, 160-164. http://dx.doi.org/10.1159/000093320

[18]   Ross, S., Robert, M., Swaby, C., et al. (2009) Transobturator tape compared with tension-free vaginal tape for stress incontinence: A randomized controlled trial. Obstetrics & Gynecology, 114, 1287-94. http://dx.doi.org/10.1097/AOG.0b013e3181c2a151

[19]   George, S., Begum, R., Thomas-Philip, A., et al. (2010) Two-year comparison of tension-free vaginal tape and transobturator tape for female urinary stress incontinence. Journal of Obstetrics & Gynaecology, 30, 281-284. http://dx.doi.org/10.3109/01443610903551756

[20]   Richter, H.E., Albo, M.E., Zyczynski, H.M. et al. (2010) Retropubic versus transobturator midurethral slings for stress incontinence. The New England Journal of Medicine, 362, 2066-2076.
http://dx.doi.org/10.1056/NEJMoa0912658

 
 
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