Perioperative complications and adverse events of the MONARC transobturator tape, compared with the tension-free vaginal tape.


Journal Article

OBJECTIVE: The objective of the study was to compare the incidence of perioperative complications of the MONARC transobturator tape with the tension-free vaginal tape in women undergoing surgical treatment for stress urinary incontinence. STUDY DESIGN: A retrospective review of all patients undergoing either a transobturator tape or tension-free vaginal tape between January 2003 and August 2005 was performed. The incidence of intraoperative and postoperative (6 weeks or less) complications was compared between groups. RESULTS: Two hundred five women underwent a transobturator tape and 213 women underwent a tension-free vaginal tape during the study period. Tension-free vaginal tape resulted in a significantly higher rate of bladder perforation than did transobturator tape (11 of 213 [5%] versus 0 of 205 [0%], P < .001). Postoperatively, subjects who received tension-free vaginal tape were significantly more likely to require urethrolysis for voiding dysfunction or urinary urgency (adjusted odds ratio 3.2 [95% confidence interval 1.2 to 10.1], P = .026) and more likely to use anticholinergic medications (adjusted odds ratio 2.1 [95% confidence interval 1.02 to 4.70], P = .046) than those who received a transobturator tape. CONCLUSION: Transobturator tape is associated with a lower rate of bladder injury, a decreased incidence of postoperative anticholinergic medication use, and fewer urethrolyses for postoperative voiding dysfunction or urinary urgency than tension-free vaginal tape.

Full Text

Cited Authors

  • Barber, MD; Gustilo-Ashby, AM; Chen, CCG; Kaplan, P; Paraiso, MFR; Walters, MD

Published Date

  • December 2006

Published In

Volume / Issue

  • 195 / 6

Start / End Page

  • 1820 - 1825

PubMed ID

  • 17027591

Pubmed Central ID

  • 17027591

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2006.07.007


  • eng

Conference Location

  • United States