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Tension-free obturator tape (Monarc Subfascial Hammock) in patients with or without associated procedures


, : Tension-free obturator tape (Monarc Subfascial Hammock) in patients with or without associated procedures. International Urogynecology Journal and Pelvic Floor Dysfunction 18(2): 165-172

The aim of the present study was to evaluate the safety and efficacy of the tension-free obturator tape (TOT) procedure in patients having concomitant hysterectomy and/or pelvic reconstructive surgery. A chart review from August 2002 to December 2004 identified 341 consecutive female patients with stress urinary incontinence who had undergone a TOT procedure alone (Monarc only group) or a TOT procedure associated with hysterectomy or other pelvic reconstructive surgery (Monarc + other surgery group). Intraoperatively, three cases of hemorrhage occurred. No transfusions were required. There were no cases of bladder injury or injury to obturator nerves or vessels during needle passage via the transobturator route. Three cases of vaginal erosion were found at 3 months follow-up, but no tape removal was required. Two hundred fifty-four patients (74.5%) were contacted by telephone for a second follow-up (average 17 months, range 6-32) and the validated short forms of the Urogenital Distress Inventory (UDI-6) questionnaire and of the Incontinence Impact Questionnaire (IIQ-7) were administered. Results showed a very good quality of life score (0-7) in 93.3% patients. Globally, only three (1.2%) patients had persistent urine leakage related to physical activity. Severe voiding dysfunction occurred in five (2%) patients. The cure rate, considered as the complete absence of urine leakage (score 0 in questions 2 and 3 of the UDI-6), was 73.7% in the Monarc only group vs 57.4% in the Monarc + other surgery group. Pelvic floor defects, benign uterine disorders, and stress urinary incontinence can be safely treated with transobturator tape, using the Monarc device, and concomitant vaginal procedures.

US$19.90

PMID: 16773232

DOI: 10.1007/s00192-006-0126-6


Other references

Dingle J.H.; Langmuir A.D., 1968: Epidemiology of acute respiratory disease in military recruits monogr adenovirus type 4 mycoplasma pneumoniae. American Review of Respiratory Disease 97(6 PART 2): 1-65

Leblois, C., 1955: A contribution to the study of the action of direct sunlight on BCG vaccine. The author describes an apparatus which measures with an approximation of t 1% the light energy utilized in an experiment. This apparatus has been used in measuring the action of light on the viability vaccine, with a high degree of accuracy. An e...

Manganaro, F.J., 1960: Aplastic anemia preceding acute myeloblastic (histrocytic) leukemia. JAMA 173: 1559-1562

Weiss, C., 1978: Studies on the antigen analysis of Blastomyces--typing using slid agglutination. Methods. Mykosen 21(1): 1-5

Vega Nunez, E.; Pena Melian, A.; D.L.R.sa, E.J.; D.P.blo, F., 1999: Dynamic restricted expression of the chaperone Hsc70 in early chick development. The non-inducible chaperone heat shock cognate 70 kDa (Hsc70) is regulated during development. We now characterize its dynamic expression pattern from gastrulation to early organogenesis. Throughout this developmental period, hsc7O transcripts wer...

Rivas, J.Gómez.; Gregorio, S.Alonso.Y.; Gómez, Ángel.Tabernero.; Alvarez-Maestro, M.; Sebastián, Jús.Díez.; Ledo, Jús.Cisneros., 2016: Laparoscopic radical cystectomy with prostate capsule sparing. Initial experience. In 2008, our department introduced a modified technique of laparoscopic radical cystectomy in which the prostatic capsule is spared in selected patients with bladder cancer. The different series published are mostly using the standard open procedu...

Fernando, Ch, 1976: Two species of the genus Hemicypris Sars, 1903 (Otracoda: Crustacea) from India. Canadian J: 1806-1810

Schneider, F.M.; Decico, A.; Saccol, A.V.; Heldwein, A.B.; Buriol, G.A.; Manfron, P.A., 1980: Determination of the thermal properties of a soil of the Sao Pedro mapping unit. Mean values for thermal diffusivity, thermal conductivity and specific heat per unit volume of soil at a moisture content of 22% by weight are given as: 6.0 X 10-3cm2/sec., 2.94 X 10-3 cal/cm/ deg C/sec. and 0.49 cal/cm3/ deg C, respectively.

Norton, V.G.; Marvin, K.W.; Yau, P.; Bradbury, E.M., 1990: Nucleosome linking number change controlled by acetylation of histones H3 and H4. High levels of acetylation of lysines in the amino-terminal domains of all four core histones, H2A, H2B, H3, and H4, have been shown to reduce the linking number change per nucleosome core particle in reconstituted minichromosomes (Norton, V. G.,...

Bartholomew, A., 1994: Video tape and patients' rights. Australian and New Zealand Journal of Psychiatry 28(3): 524-526