SynthesisInternational urogynecology journal2011
Effectiveness of midurethral slings in mixed urinary incontinence: a systematic review and meta-analysis.
Synthesis in International urogynecology journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 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
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.
- De novo overactive bladder following midurethral sling procedures: a systematic review of the literature and meta-analysis.International urogynecology journal · 2017Pooled it
- Trial
- Trial
- Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms.Neurourology and urodynamics · 2018Trial
- Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial.International urogynecology journal · 2016Trial
- Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women.Obstetrics and gynecology · 2015Trial
- The Effect of Midurethral Slings on Overactive Bladder Medication Use in Women with Mixed Urinary Incontinence.International urogynecology journal · 2026Article
- Hip Biomechanical and Functional Changes Following Transobturator Tape Surgery for Stress Urinary Incontinence.International urogynecology journal · 2026Article
- FIGO expert opinion management of post-obstetric fistula repair incontinence for vesicovaginal fistula.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Urethral Bulking Agents for the Treatment of Urinary Incontinence: Efficacy, Safety, and Impact on the Overactive Bladder Symptoms with an Underlying Detrusor Overactivity.Journal of clinical medicine · 2024Article
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Management of mixed urinary incontinence: IUGA committee opinion.International urogynecology journal · 2024Review
- The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study.International urogynecology journal · 2023Article
- Treatment outcome of women with urodynamic mixed urinary incontinence: an observational study.International urogynecology journal · 2023Observational
- Outcomes of urodynamic mixed urinary incontinence and urodynamic stress incontinence with urgency after mid-urethral sling surgery.International urogynecology journal · 2020Article
- Credé maneuver to adjust tape tension during trans-obturator tape mid-urethral sling in mixed urinary incontinence.International urogynecology journal · 2020Article
- Article
- Comparison between erbium-doped yttrium aluminum garnet laser therapy and sling procedures in the treatment of stress and mixed urinary incontinence.World journal of urology · 2019Article
- The management of mixed urinary incontinence in women.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2017Review
- Outcome of coexistent overactive bladder symptoms in women with urodynamic urinary incontinence following anti-incontinence surgery.International urogynecology journal · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
introduction and hypothesisMixed urinary incontinence (MUI) is a coexistence of stress (SUI) and urgency urinary incontinence (UUI). There is conflicting evidence on the effectiveness of midurethral slings (MUS) in this condition. The objective of this study is to evaluate the effectiveness of MUS in women with MUI by systematic review of the literature.
methodsSystematic literature search was carried (June 2010) using relevant search terms in Medline, EMBASE, CENTRAL and Google Scholar. Relevant randomised controlled trials (RCT) and prospective studies were selected and then analysed by two independent reviewers. Meta-analysis was performed with random effects model using STATA 8.
resultsThere were six randomised trials and seven prospective studies with average to good quality included in this systematic review. There was heterogeneity in outcomes reported. The overall subjective cure from seven prospective nonrandomised studies that included patients with symptomatic ± urodynamically proven MUI was found to be 56.4% (95% confidence interval 45.7-69.6%) at 34.9 ± 22.9 months follow-up. The overall cure of urgency and UUI component was 30-85% at a follow-up of few months up to 5 years. Most of the studies described that this cure does not persist over the time. The cure rate of SUI following MUS varies from 85% to 97%. On meta-analysis of five RCTs which included women with MUI symptoms, the odds of overall subjective cure with TVT versus transobturator tapes are similar at 6-33 months follow-up (OR, 0.9; 95% CI, 0.63-1.27). This was true when a subgroup analysis was performed on women with MUI who were negative for DO on UDS (OR, 1.21; 95% CI, 0.7-2.08)
conclusionsThere is evidence of persistent and good cure of stress component following MUS in women with MUI. The cure of the urge component is variable but less than stress component. Methodologically sound RCTs of retropubic and transobturator tapes with long-term follow-up are needed specifically for women with urodynamically proven and symptomatic mixed incontinence.
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.