Evidence map›Paper›PMID 17318357›Full record

ArticleInternational urology and nephrology2006

The surgical results of the pubovaginal sling procedure using Intravaginal Slingplasty (IVS) for stress urinary incontinence.

Erem Kaan Basok, Asif Yildirim, Necmettin Atsu, Cenk Gurbuz, Resit Tokuc

Abstract read
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Article in International urology and nephrology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Erem Kaan BasokDepartment of Urology, S.S.K. Goztepe Training Hospital, Istanbul, Turkey. ebasok@yahoo.com
Asif Yildirim
Necmettin Atsu
Cenk Gurbuz
Resit Tokuc
Istanbul Eye Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the surgical results and complications of the Intravaginal Slingplasty (IVS) procedure in women with stress urinary incontinence. PATIENTS AND

methodsA total of 72 women with urethral hypermobility underwent the pubovaginal sling procedure using IVS with a mean age of 50.35+/-9.07 years. Average Body Mass Index, mean parity and daily mean pad usage was 29.2+/-3.5, 3.7+/-1.74 and 2.9+/-1.76, respectively. Preoperative urge incontinence was observed in 61.12% of the patients. The mean follow-up was 13.87+/-2.4 months. The operative time, postoperative urge symptoms, de novo detrusor instability and complications were all documented.

resultsThe mean operating time was 25 min (18-40 min). Though postoperative first monthly controls proved 95.8% total dryness, the cure and improvement rates declined to 45.4% and 24.2% in 66 patients who completed 1 year of follow-up. The overall success and patient satisfaction rates were 69.6% and 87.5% respectively. De novo detrusor instability was observed in five patients (6.9%) whereas detrusor instability persisted in 25% of the patients. Bladder perforation and prolonged urinary retention developed in 11.1% of the patients. No signs of hematoma, infection and erosion were detected.

conclusionIVS is an easy procedure with low complication rates and it takes about 25 min. In spite of lower cure rates than the alternative surgical techniques, patient satisfaction rates seemed to be similar. Low cure rates may be due to either from inappropriate patient selection or from the biochemical and biomechanical properties of the polypropylene mesh. For this reason, randomized controlled trials and animal experiments should be evaluated for a further decision on the success rates.

Indexed as

Suburethral SlingsFemaleHumansMiddle AgedUrinary Incontinence, Stress

Identifiers

PMID17318357
OpenAlexW1974552038

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.