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The Procedure
Placement of the MonarcTM is a minimally invasive procedure that typically lasts less than 20 minutes under local, regional or general anesthesia, depending on what you and your doctor choose.

Before the procedure, your doctor should give you a thorough explanation of what will happen during your surgery and how to prepare for it. Your doctor also should explain the procedure in more detail and should describe the associated risks. Be sure to discuss any concerns with your doctor right away.

In general, placing the Monarc sling involves the following steps. (Your doctor's method may vary slightly from this one.)
  1. Two small incisions are made near the groin at the obturator of the pubic bone and one in the vagina.
  2. Narrow sling carriers are passed through the groin incisions and exit through the vaginal incision.
  3. The mesh is attached to the sling carriers, and placed under the urethra.
  4. Sling carriers are removed.
  5. Mesh tension is adjusted.
  6. Incision is closed.
What to Expect After the Procedure
Your doctor may insert a catheter through your urethra to drain urine from your bladder immediately after surgery. The catheter usually is removed before you leave the hospital.

If your bladder does not empty properly, you may have to use a catheter at home until normal voiding resumes. In addition, your doctor may prescribe antibiotics.

Most women see results as soon as the catheter is removed, usually within a day or two after the procedure.

Although many women have little or no pain after the procedure, your doctor may prescribe pain medication for you if needed.

Your incisions will be small and should heal quickly. For approximately four to six weeks you should avoid sexual intercourse, heavy lifting and exercise. You can return to other normal daily activities at your doctor's discretion, often within one to two weeks.

Your doctor will provide you with additional information on your care after surgery for stress urinary incontinence, including any other limitations to activities.