What is a Monarc sling?
The Monarc transobturator sling is a minimally invasive opera- tion performed to correct stress urinary incontinence (SUI). It utilises the concept of providing support for the urethra. This procedure has been shown to improve SUI in 80 to 90% cases.
How long does a bladder sling last for?
Bladder suspension surgery works well to treat stress incontinence in most cases. Success rates for open retropubic suspension surgery range from 85%-90%. But, the effects do not last forever. Symptoms can return over time, usually after five years.
What is a retropubic Suburethral sling?
A retropubic midurethral sling is a procedure to correct stress urinary incontinence (SUI). SUI is a type of urinary incontinence that is defined as involuntary leakage of urine related to an increase in intraabdominal pressure that occurs during sneezing, laughing, coughing or exercise.
What is the Monarc sling made of?
The sling material used is made of polypropylene, which is an inert material that is very well tolerated by the body. This procedure is to treat stress urinary incontinence.
Is mesh still used in prolapse surgery in Australia?
Transvaginal mesh is used to treat stress urinary incontinenceif non-surgical treatment options have been unsuccessful. It is only one of the surgical options that are available. It has been withdrawn in Australia for the treatment of most pelvic organ prolapse (such as bladder, bowel or uterine prolapse).
What can go wrong with a bladder sling?
Despite its high success rates, significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, intestinal perforation, vaginal extrusion of mesh, urinary tract infection, pain, urinary urgency and bladder outlet obstruction.
What is MonarC transobturator sling?
Monarc transobturator sling system for the treatment of female urinary stress incontinence: results of a post-operative transvaginal ultrasonography Int Urogynecol J Pelvic Floor Dysfunct. 2007 Aug;18(8):857-61.doi: 10.1007/s00192-006-0244-1. Epub 2006 Nov 21. Authors
Is the Monarc transobturator tape safe and effective?
This study investigated the long-term safety and effectiveness of the Monarc transobturator tape (TOT) approach. Researchers reported a high cure rate and low rate of complications of the Monarc TOT after 5 years.
What is a transobturator tape (TOT) sling procedure?
Vaginal sling procedures are the most common type of surgery used to help control stress urinary incontinence. The transobturator tape (TOT) approach is a minimally invasive vaginal sling procedure.
Which is the best transobturator for groin pain?
The transobturator “outside-in” techniques like Monarc, TrOT, Dynamesh at this moment of time appear to be easy, safe, and successful and if the Indian modification is used, it is very cost effective. The “inside-out” technique, i.e., TVT-O had good success but higher incidence of groin or leg pain.