SynthesisAmerican journal of obstetrics and gynecology2007
Comparison of retropubic vs transobturator approach to midurethral slings: a systematic review and meta-analysis.
Synthesis in American journal of obstetrics and gynecology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Stress incontinence.BMJ clinical evidence · 2009Pooled it
- TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: a randomized trial.International urogynecology journal · 2020Trial
- A randomized comparison of a single-incision needleless (Contasure-needleless®) mini-sling versus an inside-out transobturator (Contasure-KIM®) mid-urethral sling in women with stress urinary incontinence: 24-month follow-up results.International urogynecology journal · 2018Trial
- Contasure-Needleless® single incision sling compared with transobturator TVT-O® for the treatment of stress urinary incontinence: long-term results.International urogynecology journal · 2015Trial
- Retropubic vs. transobturator tension-free vaginal tape for female stress urinary incontinence: 3-month results of a randomized controlled trial.International urogynecology journal · 2014Trial
- Tension-free vaginal tape, transobturator tape, and own modification of transobturator tape in the treatment of female stress urinary incontinence: comparative analysis.BioMed research international · 2014Trial
- Twelve months effect on voiding function of retropubic compared with outside-in and inside-out transobturator midurethral slings.International urogynecology journal · 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
- The original versus a modified inside-out transobturator procedure: 1-year results of a prospective randomized trial.International urogynecology journal · 2011Trial
- Minimum 2-year follow-up of mid-urethral slings, effect on quality of life, incontinence impact and sexual function.International urogynecology journal · 2010Trial
- Transobturator TVT-O versus retropubic TVT: results of a multicenter randomized controlled trial at 24 months follow-up.International urogynecology journal · 2010Trial
- TVT and TVT-O for surgical treatment of primary stress urinary incontinence: prospective randomized trial.International urogynecology journal · 2010Trial
- Sequential comparisons of postoperative urodynamic changes between retropubic and transobturator midurethral tape procedures.World journal of urology · 2008Trial
- Life-Threatening Hemorrhage, Upper Urinary Tract Extravasation, and Delayed Infection Involving a Persistent Pelvic Collection After Obturator-Route Midurethral Sling Surgery: A Case Report and Narrative Summary of Published Cases.Journal of clinical medicine · 2026Article
- Transvaginal subfascial synthetic sling - "A novel technique" versus trans-obturator mid-urethral sling in female stress urinary incontinence: A comparative study.Current urology · 2021Article
- Article
- Cystourethroscopy following midurethral slings: is it always necessary?International urogynecology journal · 2018Review
- Day case transobturator tapes: a cut and dried solution.Irish journal of medical science · 2017Article
- Comparison of the clinical outcomes of transobturator and single-incision slings for stress urinary incontinence.The Kaohsiung journal of medical sciences · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
To systematically review the literature and to quantitatively compare outcomes and complications following retropubic vs transobturator approach to midurethral slings. We searched PUBMED, OVID, EMBASE, CINAHL, POPLINE, Web of Science, Cochrane Collaboration resources, TRIP, Global Health databases, and abstracts from relevant meetings from 1990 to 2006. We included all studies that compared retropubic and transobturator approaches to midurethral slings and that defined outcomes. We used random-effects models to estimate pooled odds ratios and 95% confidence intervals for objective and subjective failure, complications, and de novo irritative voiding symptoms. Six randomized trials and 11 cohort studies compared transobturator and retropubic approaches to midurethral slings. There was insufficient evidence to support if one approach leads to better objective outcomes. We found no difference in subjective failure between the 2 approaches after pooling data from randomized trials (pooled odds ratio OR 0.85, confidence interval 95% CI 0.38-1.92). The transobturator approach was associated with a decreased risk of complications (pooled OR 0.40, 95% CI 0.19-0.83]). The transobturator approach to midurethral slings is associated with a lower risk of complications; however, it is still unclear if one approach results in superior objective or subjective outcomes.
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.