Castroviejo-Royo F, Martinez-Sagarra-Oceja J M, Marina-García-Tuñón C, Conde-Redondo C, Rodríguez-Toves L A, González-Tejero C
Servicio de Urología, Unidad de Suelo Pélvico, Hospital Río Hortega, Valladolid, España.
Actas Urol Esp. 2013 Oct;37(9):549-53. doi: 10.1016/j.acuro.2012.11.013. Epub 2013 Apr 22.
The treatment of female stress urinary incontinence has undergone a revolution in recent years due the emergence on the market of suburethral slings. The aim of this study is to compare two surgical techniques for treating stress urinary incontinence: Monarc™ (transobturator suburethral sling) and MiniArc(®) (single-incision suburethral mini-sling).
Comparative, retrospective, observational study from January 2005 to December 2011 on 317 women diagnosed with stress urinary incontinence. Of these, 214 were treated with the Monarc™ transobturator suburethral sling, and 103 were treated with the MiniArc(®) mini-sling. The results were treated with SPSS v.15 software, and the statistical significance was P≤.005.
The two patients groups were homogeneous in terms of age, number of births, presence of urgency urinary incontinence and prior hysterectomy. There were significant differences in hospital stay, surgical time and early complications in favour of the MiniArc(®), technique, but overall there were no significant differences in the late complications. Some 84% of the patients treated with the Monarc™ transobturator sling were cured compared with the 72% of patients in whom we implanted a MiniArc(®), a difference that was statistically significant.
We need to perform more high-quality, prospective and randomised studies with larger numbers of patients and longer follow-up times to confirm or disprove the difference that we found in the success rate for the Monarc™ transobturator suburethral sling.
近年来，由于尿道下吊带在市场上的出现，女性压力性尿失禁的治疗发生了变革。本研究的目的是比较两种治疗压力性尿失禁的手术技术：Monarc™（经闭孔尿道下吊带）和MiniArc(®)（单切口尿道下迷你吊带）。
对2005年1月至2011年12月期间诊断为压力性尿失禁的317名女性进行比较、回顾性观察研究。其中，214名接受了Monarc™经闭孔尿道下吊带治疗，103名接受了MiniArc(®)迷你吊带治疗。结果采用SPSS v.15软件进行处理，统计学显著性为P≤0.005。
两组患者在年龄、生育次数、急迫性尿失禁的存在情况和既往子宫切除术方面具有同质性。在住院时间、手术时间和早期并发症方面，MiniArc(®)技术具有显著差异，但总体而言，晚期并发症没有显著差异。接受Monarc™经闭孔吊带治疗的患者中约84%治愈，而植入MiniArc(®)的患者中这一比例为72%，差异具有统计学意义。
我们需要进行更多高质量、前瞻性、随机化研究，纳入更多患者并延长随访时间，以证实或否定我们在Monarc™经闭孔尿道下吊带成功率方面发现的差异。
