ArticleInternational urogynecology journal and pelvic floor dysfunction2006
TVT vs Monarc: a comparative study.
Article in International urogynecology journal and pelvic floor dysfunction, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2007Pooled it
- Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study.International urogynecology journal and pelvic floor dysfunction · 2008Trial
- A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension-free, suburethral sling treatment of urodynamic stress incontinence: the TORP study.International urogynecology journal and pelvic floor dysfunction · 2008Trial
- Peri-operative morbidity and early results of a randomised trial comparing TVT and TVT-O.International urogynecology journal and pelvic floor dysfunction · 2007Trial
- Impact of intrinsic sphincter deficiency on mid-urethral sling outcomes.International urogynecology journal · 2022Article
- Ultrasonography and clinical outcomes following anti-incontinence procedures (Monarc vs MiniArc): A 3-year post-operative review.PloS one · 2018Article
- Surgeons' views on sling tensioning during surgery for female stress urinary incontinence.International urogynecology journal · 2017Observational
- Article
- TVT-O vs. TVT for the treatment of SUI: a non-inferiority study.International urogynecology journal · 2012Article
- Pelvic floor ultrasound in incontinence: what's in it for the surgeon?International urogynecology journal · 2011Review
- Sonographic appearance of transobturator slings: implications for function and dysfunction.International urogynecology journal · 2011Article
- TVT vs TOT: a case controlled study in patients with mixed urodynamic stress incontinence and detrusor overactivity.International urogynecology journal · 2010Article
- Female voiding dysfunction: prevalence and common associations.Current urology reports · 2009Article
- Clinical and ultrasonographic correlations following three surgical anti-incontinence procedures (TOT, TVT and TVT-O).International urogynecology journal and pelvic floor dysfunction · 2008Article
- Effect of tension-free vaginal tape position on the resolution of irritative bladder symptoms in women with mixed incontinence.International urogynecology journal and pelvic floor dysfunction · 2008Article
- The Trial of Mid-Urethral Slings (TOMUS): Design and Methodology.The journal of applied research · 2008Article
- The use of synthetic sub-urethral slings in the treatment of female stress urinary incontinence.International urogynecology journal and pelvic floor dysfunction · 2007Review
- Thoughts on midurethral synthetic slings.Current urology reports · 2007Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Following the success of the tension-free vaginal tape (TVT), there has been considerable interest in technique modifications such as the transobturator approach for implant placement. We attempted to elucidate possible anatomical and clinical differences between the two methods in a retrospective cohort study. One hundred and fourteen women who had undergone TVT or Monarc implantation were assessed by or under the supervision of the senior author, with identical tensioning technique. They were followed up by an interview, uroflowmetry, and translabial 3D ultrasound. There were significant differences for patient satisfaction (P=0.013), subjective overall cure/improvement (P=0.0018), and the symptom of poor stream (P=0.03), all favoring the Monarc group. On imaging Monarc tapes appeared more proximal at rest (P=0.006) and Valsalva (P=0.002) and remained further from the symphysis pubis on Valsalva (P=0.01). At 9 months follow-up, there was no significant difference as regards to cure rates for stress incontinence between the two suburethral slings. Monarc tapes are located more proximally and may be less obstructive, judging from a lower incidence of symptoms of voiding dysfunction. Patient satisfaction and overall subjective cure/improvement were higher after Monarc. In summary, the Monarc is an effective TVT alternative, achieving cure of stress incontinence by similar means. It may be less obstructive, resulting in improved patient satisfaction.
Indexed as
Identifiers
16525760What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.