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

Matthew D. Barber, Arlan Marcus Gustilo-Ashby, Chi Chiung Grace Chen, Petek Kaplan, Marie Fidela R. Paraiso, Mark D. Walters

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1820-1825
Number of pages6
JournalAmerican journal of obstetrics and gynecology
Issue number6
StatePublished - Dec 2006
Externally publishedYes


  • Complications
  • Pubovaginal sling
  • Stress urinary incontinence
  • Tension-free vaginal tape
  • Transobturator tape

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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