Trial reportBMJ (Clinical research ed.)2002
Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 133 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Retropubic vs. Transobturator Tension-free Vaginal Tape (TVT vs. TVT-O): A Randomized Trial
Does Prophylaxis With Macrobid Reduce the Incidence of Urinary Tract Infection in Patients Who Receive a Sub-Urethral Sling for the Treatment of Stress Urinary Incontinence: Randomized, Double Blinded Placebo Controlled Clinical Trial
Who cites it
133 citing papers in PubMed, 6 syntheses or guidelines pooled it, 509 citations in OpenAlex.
- Does Pre-Operative Grade of Stress Urinary Incontinence Severity Affect the Post-Operative Outcome? A Systematic Review.International urogynecology journal · 2025Pooled it
- Traditional suburethral sling operations for urinary incontinence in women.The Cochrane database of systematic reviews · 2020Pooled it
- Traditional suburethral sling operations for urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Open retropubic colposuspension for urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Urodynamic studies for management of urinary incontinence in children and adults.The Cochrane database of systematic reviews · 2013Pooled it
- Health-related quality of life. The effect of pelvic floor muscle training and midurethral sling surgery: a systematic review.International urogynecology journal · 2012Pooled it
- Single-incision mini-slings versus standard synthetic mid-urethral slings for surgical treatment of stress urinary incontinence in women: The SIMS RCT.Health technology assessment (Winchester, England) · 2022Trial
- Two Intraoperative Techniques for Midurethral Sling Tensioning: A Randomized Controlled Trial.Obstetrics and gynecology · 2020Trial
- Association between the Urinary Bladder Volume and the Incidence of "De Novo" Overactive Bladder in Patients with Stress Urinary Incontinence Subjected to Sling Surgeries or Burch Procedure.BioMed research international · 2019Trial
- Two-Year Results of Burch Compared With Midurethral Sling With Sacrocolpopexy: A Randomized Controlled Trial.Obstetrics and gynecology · 2018Trial
- Burch Retropubic Urethropexy Compared With Midurethral Sling With Concurrent Sacrocolpopexy: A Randomized Controlled Trial.Obstetrics and gynecology · 2016Trial
- Single incision device (TVT Secur) versus retropubic tension-free vaginal tape device (TVT) for the management of stress urinary incontinence in women: a randomized clinical trial.BMC research notes · 2014Trial
- Retropubic vs. transobturator tension-free vaginal tape for female stress urinary incontinence: 3-month results of a randomized controlled trial.International urogynecology journal · 2014Trial
- 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence.The Journal of urology · 2012Trial
- Surgical management of stress urinary incontinence in women: safety, effectiveness and cost-utility of trans-obturator tape (TOT) versus tension-free vaginal tape (TVT) five years after a randomized surgical trial.BMC women's health · 2011Trial
- Contasure-Needleless compared with transobturator-TVT for the treatment of stress urinary incontinence.International urogynecology journal · 2011Trial
- Trial
- Predictors of treatment failure 24 months after surgery for stress urinary incontinence.The Journal of urology · 2008Trial
- Tension free vaginal tape versus Burch colposuspension for treatment of female stress urinary incontinence.International urology and nephrology · 2005Trial
- The effects of the tension-free vaginal tape on proximal urethral position: a prospective, longitudinal evaluation.International urogynecology journal and pelvic floor dysfunction · 2003Trial
73 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare tension-free vaginal tape with colposuspension as primary treatment for stress incontinence.
designMulticentred randomised comparative trial.
settingGynaecology or urology departments in 14 centres in the United Kingdom and Eire, including university teaching hospitals and district general hospitals.
participants344 women with urodynamic stress incontinence; 175 randomised to tension-free vaginal tape and 169 to colposuspension
main outcome measuresAssessment before treatment and at six months postoperatively with the SF-36, the Bristol female lower urinary tract symptoms questionnaire, the EQ-5D health questionnaire, a one week urinary diary, one hour perineal pad test, cystometry, and, in some centres, urethral profilometry.
results23 women in the colposuspension group and 5 in the vaginal tape group withdrew before surgery. No significant difference was found between the groups for cure rates: 115 (66%) women in the vaginal tape group and 97 (57%) in the colposuspension group were objectively cured (95% confidence interval for difference in cure -4.7% to 21.3%). Bladder injury was more common during the vaginal tape procedure; postoperative complications, in particular delayed resumption of micturition, were more common after colposuspension. Operation time, duration of hospital stay, and return to normal activity were all longer after colposuspension than after the vaginal tape procedure.
conclusionSurgery with tension-free vaginal tape is associated with more operative complications than colposuspension, but colposuspension is associated with more postoperative complications and longer recovery. Vaginal tape shows promise for the treatment of urodynamic stress incontinence because of minimal access and rapid recovery times; cure rates at six months were comparable with colposuspension.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.