The MonarcTM Subfascial Hammock prevents undesired leakage by restoring support to the urethra. The hammock shaped sling acts as a backboard for the urethra, just like normal urethra tissue does when abdominal pressure occurs.
The Monarc self-fixating mesh is anchored to the obturator membrane and muscle with a lateral, transobturator approach, which forms a hammock-shaped urethral support. The open V shape of the hammock mimics pubourethral ligaments and pubocervical fascia and is placed beneath the midurethra along the same plane as the endopelvic fascia.
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