Trial reportInternational urogynecology journal and pelvic floor dysfunction2008
A multi-centre, randomised clinical control trial comparing the retropubic (RP) approach versus the transobturator approach (TO) for tension-free, suburethral sling treatment of urodynamic stress incontinence: the TORP study.
Trial report in International urogynecology journal and pelvic floor dysfunction, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Comparison between the retropubic and transobturator approaches in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Contasure-Needleless compared with transobturator-TVT for the treatment of stress urinary incontinence.International urogynecology journal · 2011Trial
- What patients think: patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urodynamic stress incontinence--a multi-centre randomised controlled trial.International urogynecology journal · 2011Trial
- Outcomes of Sling Removal in Women with Chronic Voiding Dysfunction: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Instruments Used for the Assessment of SUI Severity in Urogynecologic Surgical Trials: A Scoping Review.International urogynecology journal · 2024Article
- Outcome measures for stress urinary incontinence treatment: can we minimally agree?World journal of urology · 2015Review
- TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study.Open medicine (Warsaw, Poland) · 2015Article
- The course of the obturator artery following passage through the obturator foramen into the thigh.BMJ case reports · 2012Article
- Retropubic and transobturator slings: still useful or should all patients be treated with mini-slings?Current urology reports · 2011Article
- Sonographic appearance of transobturator slings: implications for function and dysfunction.International urogynecology journal · 2011Article
- Analysis of 1,000 cases of synthetic midurethral slings used for treatment of female urinary incontinence - a single-center experience.Central European journal of urology · 2011Article
- The influence of preoperative bladder outlet obstruction on continence and satisfaction in patients with stress urinary incontinence after midurethral sling.International neurourology journal · 2010Article
- Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc and Monarc slings.International urogynecology journal · 2010Article
- Retropubic synthetic midurethral slings: techniques and outcomes.Current urology reports · 2009Review
- The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update.International urogynecology journal and pelvic floor dysfunction · 2009Review
- Safety and efficacy of transobturator tension-free midurethral sling for surgical management of stress urinary incontinence in women.International urogynecology journal and pelvic floor dysfunction · 2008Article
- Update on complications of synthetic suburethral slings.International braz j urol : official journal of the Brazilian Society of UrologyReview
- Transobturator tapes are preferable over transvaginal tapes for the management of female stress urinary incontinence: For.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
Corrections and comments
- Commented on by
Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To compare the safety and efficacy of the transobturator tape (Monarc) with the retropubic tape (tension-free vaginal tape, TVTR) for the treatment of urodynamic stress incontinence (USI) a prospective, single-blinded, multi-centre randomised clinical controlled trial was undertaken in four urogynaecology units in Australia. One hundred and eighty-seven women with USI were randomly allocated to undergo surgery with either the Monarc sling (n = 80) or TVT (n = 107). Outcome measures were intra-operative complications (especially bladder injury), as well as peri-operative complications, symptomatology, quality of life and urodynamic outcomes. At 3 months, data were available on 140 women, 82 (59%) TVT and 58 (42%) Monarc. The TVT group was significantly more likely to be complicated by bladder injury (7 TVT, 0 Monarc, p < 0.05). Blood loss and operative time were significantly less in the Monarc group, which was 49 mls (31) vs that of the TVT group, which was 64 mls (41) p < 0.05; 18.5 min (6.5) TVT vs 14.6 min (6) Monarc (p < 0.001). The subjective and objective stress incontinence cure rates were 86.6% (71) vs 72.4% (42) p = 0.77 and 79.3 vs 84.5%, p = 0.51 for the TVT and Monarc groups, respectively. Both groups reported similar improvement in incontinence impact and satisfaction with their operation, although return to activity was significantly quicker with the transobturator route (p = 0.029). The transobturator tape appears to be as effective as the retro-pubic tape in the short term, with a reduction in the risk of intra-operative bladder injury, shorter operating time, decreased blood loss, and quicker return to usual activities.
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.