Comparison of Suprapubic Versus Transobturator Surgical Treatments of Female Stress Urinary Incontinence

Summary 

Objective

The aim of this study was to retrospectively compare surgical outcomes of the suprapubic arc sling (SPARC) and transobturator suburethral tape (MONARC) for treatment of stress urinary incontinence (SUI) in women.

Materials and Methods

A total of 74 women treated for SUI using MONARC were compared with 32 treated using SPARC. Postoperative evaluations were conducted at 3-6 months, including 1 -hour pad test, cough stress test, uroflowmetry and residual urine volume. Subjective outcomes were evaluated using telephone interviews. Perioperative complications were investigated from chart records.

Results

No significant difference was found between the SPARC and MONARC treatment groups in terms of the objective cure rate at 3 months postoperatively (90.6% vs. 80.6%; p = 0.258). However, a significant difference was found between the subjective cure rates of the SPARC and MONARC groups (77.4% vs. 97.3%; p<0.05).

Conclusion

Both MONARC and SPARC are safe and effective for surgical treatment of SUI. [Taiwan J Obstet Gynecol 2008;47(2):1 75-1 79]

Key Words:  stress urinary incontinence , suprapubic arc sling , transobturator suburethral tape

No full text is available. To read the body of this article, please view the PDF online.