| Surgical Treatment of Female Stress Urinary Incontinence with a Transobturator Tape: Short Term Results. |
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| Young Kwon Hong, Young Tae Lee |
| Department of Urology, College of Medicine, Pochon CHA University, Seognam, Korea. urohong@yahoo.co.kr |
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| 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 <60 cmH2O); 9 patients presented with mixed incontinence, three of them with detrusor instability confirmed by cystometry. All patients underwent cystoscopy at the end of the surgery. All patients underwent post-operative clinical examination, uroflowmetry and the patients complaining of post-operative urine leak underwent pad test. Post-operative bladder outlet obstruction was defined as the presence of the following criteria: maximum flow rate <15 ml/s and/or postvoid residual urine >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. |
| Keywords:
Urinary incontinence; Stress; Surgery |
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