Trial reportObstetrics and gynecology2011
Demographic and clinical predictors of treatment failure one year after midurethral sling surgery.
Trial report in Obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00325039 (TOMUS-Trial Of Mid-Urethral Slings), which is not on this map. Cited by 31 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.
TOMUS-Trial Of Mid-Urethral Slings
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Electroacupuncture for balanced mixed urinary incontinence: secondary analysis of a randomized non-inferiority controlled trial.International urogynecology journal · 2021Trial
- Characteristics Associated With Treatment Failure 1 Year After Midurethral Sling in Women With Mixed Urinary Incontinence.Obstetrics and gynecology · 2020Trial
- Methodology for a vaginal and urinary microbiome study in women with mixed urinary incontinence.International urogynecology journal · 2017Trial
- Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women.Obstetrics and gynecology · 2015Trial
- Repeat post-op voiding trials: an inconvenient correlate with success.Neurourology and urodynamics · 2014Trial
- Patient satisfaction after midurethral sling surgery for stress urinary incontinence.Obstetrics and gynecology · 2013Trial
- Sexual activity and function in women more than 2 years after midurethral sling placement.American journal of obstetrics and gynecology · 2012Trial
- Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries.The Journal of urology · 2012Trial
- Patient Reported Outcomes and Complications of Stress Incontinence Surgery: Effect of Patient Characteristics.International urogynecology journal · 2026Article
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- The effect of 12-month postoperative weight change on outcomes following midurethral sling for stress urinary incontinence: a secondary analysis of the ESTEEM and TOMUS randomized trials.International urogynecology journal · 2023Article
- Mixed urinary incontinence: Are there effective treatments?Neurourology and urodynamics · 2023Article
- Effect of hysterectomy on re-operation for stress urinary incontinence: 10 year follow-up.Archives of gynecology and obstetrics · 2022Article
- Second-Line Surgical Management After Midurethral Sling Failure.International neurourology journal · 2021Article
- Electroacupuncture for stress-predominant mixed urinary incontinence: a protocol for a three-armed randomised controlled trial.BMJ open · 2021Article
- Risk Factors for Returning to the Operating Room for a Second Surgery After Midurethral Sling for Stress Urinary Incontinence.Female pelvic medicine & reconstructive surgery · 2020Article
- A comprehensive look at risk factors for mid-urethral sling revision surgery.International urogynecology journal · 2020Article
- Joint report on the terminology for surgical procedures to treat stress urinary incontinence in women.International urogynecology journal · 2020Article
- Urinary incontinence in women.Nature reviews. Disease primers · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo identify clinical and demographic factors predictive of midurethral sling failure.
methodsOverall treatment failure was defined by one or more of the following objective outcomes: a positive stress test, positive 24-hour pad test or retreatment for stress urinary incontinence (SUI); subjective outcomes: self reported SUI by the Medical, Epidemiologic and Social Aspect of Aging questionnaire, incontinent episodes by 3-day diary, or retreatment for SUI, or a combination of these. Logistic regression models adjusting for sling type and clinical site were used to predict odds of overall treatment failure after univariable analysis. Models were also fit to compare factors associated with objective failure and subjective failure only.
resultsPrevious UI surgery (odds ratio [OR] 1.99, 95% confidence interval [CI] 1.14-3.47); maximum Q-tip excursion<30° (OR 1.89, 95% CI 1.16-3.05); Medical, Epidemiologic and Social Aspect of Aging questionnaire urge score per 10 points (OR 1.97, 95% CI 1.21-3.21); and pad weight per 10 g (OR 1.06, 95% CI 1.02-1.10) were predictors of overall failure. Having concomitant surgery (OR 0.44, 95% CI 0.22-0.90) was predictive of subjective failure only rather than objective failure. Age per 10 years (OR 1.48, 95% CI 1.14-1.90); Urogenital Distress Inventory score per 10 points (OR 1.09, 95% CI 1.02-1.17); pad weight per 10 g (OR 1.05, 95% CI 1.01-1.10) were predictive of objective failure compared with subjective failure only. Associations of risk factors and failure were similar independent of sling type (retropubic or transobturator).
conclusionTwelve months after surgery, risk factors for overall and objective treatment failure were similar in women undergoing retropubic and transobturator sling procedures. This information may assist in counseling patients regarding efficacy of sling procedures and in setting expectations for women at increased odds for treatment failure. CLINICAL
trial registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT00325039. LEVEL OF EVIDENCE: II.
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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.