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Case Report Received: October 24, 2008 Curr Urol 2009;3:49–52 Accepted: January 23, 2009 DOI: 10.1159/000189682 Published online: May 30, 2009 A Definite and Less Invasive Treatment with a Monarc Transobturator Sling after Several Failed Operations for Urinary Incontinence in Women a b a c Zlatko Hrgovic Zoran Persec Loreta Mavrova-Risteska Jasminka Persec a b Department of Gynecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt/M, Germany; Department of Urology, and Anesthesiology, Resuscitation and Intensive Care Medicine Clinic, University Hospital Dubrava, Zagreb, Croatia The treatment of this disorder is even more non-uni- Key Words formed: there have been about 100 operations proposed Recurrent stress urinary incontinence • for it. The Burch procedure has become probably the Ambulatory treatment• most popular even though its success rate is about 80%, Monarc transobturator sling operation and the results may be not durable [2–4]. Recently, some minimally invasive procedures to treat SUI have been proposed. Based on the Integral Theory as described by Petros and Ulmsten [5], these procedures tend to restore the defective connection between the ure- thra and the vagina and thereby reinforce the suburethral hammock. Although it is effective and easy to perform Introduction [6–10], retropubic placement of suburethral tension-free vaginal tape
Current Urology – Karger
Published: Jan 1, 2009
Keywords: Recurrent stress urinary incontinence; Ambulatory treatment; Monarc transobturator sling operation
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