Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 2 , Pages 175-179, June 2008

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

  • Mou-Jong Sun

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taichung Taiwan
    • Department of Nursing Central Taiwan University of Science and Technology, Taichung Taiwan
    • ,
  • Ning-En Chang

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taichung Taiwan
    • ,
  • Gin-Den Chen

      Affiliations

    • Department of Obstetrics and Gynecology, ChungShan Medical University Hospital, Taichung Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Gin-Den Chen, Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, 110, Section 1, Chien-Kuo North Road, Taichung 40201, Taiwan
    • ,
  • Horng-Der Tsai

      Affiliations

    • Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taichung Taiwan

Accepted 14 September 2007.

Article Outline

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

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References 

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PII: S1028-4559(08)60076-5

doi:10.1016/S1028-4559(08)60076-5

Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 2 , Pages 175-179, June 2008

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