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Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings

Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings,10.1007/s00192-010-1127-z,International Ur

Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings   (Citations: 7)
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Introduction and hypothesis  A retrospective, dual-center, cohort study on the single incision MiniArc sling and the transobturator Monarc sling in the treatment of stress urinary incontinence is presented. We hypothesized that both systems would perform equally well. Methods  One hundred thirty-one (MiniArc n = 75, Monarc n = 56) consecutive patients were evaluated. Evaluation was performed by cough stress test (CST), daily pad use, IIQ-7, UDI-6, and a 0–5 visual analog scale for quality of life. The 1-year data are presented. Results  Six weeks after surgery, 91% of the patients in both populations had a negative CST. At 1 year, 85% of the MiniArc group and 89% of the Monarc group (p = 0.60) maintained a negative CST. QoL, symptom scores, and number of pads improved significantly and were comparable in both groups. Complication rates were similar. Conclusions  These results suggest that MiniArc sling and Monarc sling are equally effective in the treatment of stress incontinence at 1 year follow-up.
Journal: International Urogynecology Journal - INT UROGYNECOL J , vol. 21, no. 7, pp. 773-778, 2010
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    • ... This is important given experience suggesting that newer types of MUS are unlikely to be associated with significantly improved continence outcomes and are associated with an expected learning curve...

    Ashley Kinget al. IncontinenceEvaluation of a midurethral single incision sling

    • ...De Ridder et al. [42] 1 year Retrospective 75 MiniArc; 56 Monarc 85; 89 NA...
    • ...The only retrospective dual-center cohort study to compare the single-incision MiniArc to a transobturator Monarc procedure recently was published by De Ridder et al. [42]...
    • ...Ultimately, they found that while prospective long-term randomized evaluation of the MiniArc is warranted, their preliminary results were encouraging because the MiniArc was found to be as safe as traditional transobturator procedures [42]...

    Michael J. Kennellyet al. Retropubic and Transobturator Slings: Still Useful or Should All Patie...

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