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

2009; Springer Science+Business Media; Volume: 20; Issue: 11 Linguagem: Inglês

10.1007/s00192-009-0943-5

1433-3023

Roderick M. Houwert, Charlotte Renes-Zijl, M. Caroline Vos, Harry A.M. Vervest,

Urinary Tract Infections Management

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. 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. 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. After a 2–4-year follow-up period, both procedures were equally safe and effective in curing SUI.