Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan.
Department of Obstetrics and Gynecology, Taipei Medical University, Taipei, Taiwan; School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
We sought to explore functional and morphological differences in two suburethral tape procedures for urodynamic stress incontinence (USI) through different approaches.
Women who had either Monarc or TVT-O procedures for USI were prospectively recruited. Participants completed a question-directed interview, the measures of Sandvik Incontinence Severity Index (SISI), Incontinence Bother Scale (IBS), Ingelman-Sundberg Score (ISS), short forms of Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7), physical examination, a cough stress test, and four-dimensional (4D) ultrasound investigation before and 3 months after the procedures. The primary outcome was participants' responses to clinical assessments and the secondary outcome was ultrasound manifestations.
At 3-month follow-up 67 women with Monarc procedures and 60 women with TVT-O procedures have completed the survey. Significant improvements in scores of SISI, IBS, ISS, UDI-6, and IIQ-7 were noted after these two procedures. Both Monarc and TVT-O procedures had similar success rates, SISI scores, IBS scores, ISS scores, UDI-6 scores, IIQ-7 scores, as well as incidences of postoperative voiding difficulty and overactive bladder symptoms at 3-month follow-up. After Bonferroni correction all ultrasound parameters representing the tape location, tape tension, and urethral mobility were similar between these two procedures.
Monarc and TVT-O procedures are comparable in both functional outcomes and morphological manifestations assessed by ultrasound parameters representing the tape location, tape tension, and urethral mobility at short-term follow-up.
Written by:
Huang WC, Yang SH, Yang JM, Tzeng CR. Are you the author?
Reference: Ultrasound Obstet Gynecol. 2011 Nov 28. Epub ahead of print.
doi: 10.1002/uog.10153
PubMed Abstract
PMID: 22125110
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