Trial reportAmerican journal of obstetrics and gynecology2011
Adverse events over two years after retropubic or transobturator midurethral sling surgery: findings from the Trial of Midurethral Slings (TOMUS) study.
Trial report in American journal of 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 3 registered trials, which are not on this map. Cited by 63 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.
TOMUS-Trial Of Mid-Urethral Slings
Mesh-free Suture Urethropexy for Treating Stress Urinary Incontinence, Efficacy and Durability Trial
Mesh-Reduced Sling For Treating Stress Urinary Incontinence, Efficacy and Durability Trial
Who cites it
63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 191 citations in OpenAlex.
- Comparison of synthetic mesh erosion and chronic pain rates after surgery for pelvic organ prolapse and stress urinary incontinence: a systematic review.International urogynecology journal · 2021Pooled it
- Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- A urinary catheter valve is non-inferior to continuous bladder drainage with respect to post-operative UTIs: a randomized controlled trial.International urogynecology journal · 2021Trial
- Prospective and randomized clinical trial comparing transobturator versus retropubic sling in terms of efficacy and safety.International urogynecology journal · 2018Trial
- Two techniques for assessing postoperative voiding function, a randomized trial.International urogynecology journal · 2017Trial
- A randomised comparison of single-incision versus traditional transobturator midurethral sling in women with stress urinary incontinence: results of a 24-month follow-up.International urogynecology journal · 2016Trial
- Contasure-Needleless® single incision sling compared with transobturator TVT-O® for the treatment of stress urinary incontinence: long-term results.International urogynecology journal · 2015Trial
- TVT versus TOT, 2-year prospective randomized study.World journal of urology · 2013Trial
- Association of Empty Cough Stress Test with Midurethral Sling Outcomes and Intrinsic Sphincter Deficiency in Women with Stress Urinary Incontinence.International urogynecology journal · 2026Article
- Article
- Postoperative Management of Bladder Perforation During Mid-Urethral Sling Procedures.International urogynecology journal · 2025Article
- The Impact of Pelvic Organ Prolapse on the Long-Term Outcomes of Transobturator Tape (TOT) Procedures-A Retrospective Study.Journal of clinical medicine · 2024Article
- Robotic-assisted treatment of obturator nerve entrapment 5 years after retropubic tension-free vaginal tape insertion.Facts, views & vision in ObGyn · 2024Article
- Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review.Journal of clinical medicine · 2024Review
- Does trocar puncture of the bladder during midurethral sling impact postoperative urinary storage and voiding symptoms?International urogynecology journal · 2023Article
- Obturator nerve entrapment after retropubic tension-free vaginal tape insertion.Archives of gynecology and obstetrics · 2023Article
- Surgical teaching of the retropubic midurethral sling: a virtual reality training system.International urogynecology journal · 2023Article
- Urethral injection of dedifferentiated fat cells ameliorates sphincter damage and voiding dysfunction in a rat model of persistence stress urinary incontinence.International urology and nephrology · 2022Article
- Female pelvic medicine and reconstructive surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases.International urogynecology journal · 2021Article
- Reporting and grading of complications after mid-urethral sling surgeries: Could the "Clavien-Dindo Classification" be adopted?Current urology · 2021Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 11 institutions in 1 country.
Funding
Abstract
objectiveTo describe surgical complications in 597 women over a 24-month period after randomization to retropubic or transobturator midurethral slings. STUDY
designDuring the Trial of Midurethral Slings study, the Data Safety Monitoring Board regularly reviewed summary reports of all adverse events using the Dindo Surgical Complication Scale. Logistic regression models were created to explore associations between clinicodemographic factors and surgical complications.
resultsA total of 383 adverse events were observed among 253 of the 597 women (42%). Seventy-five adverse events (20%) were classified as serious (serious adverse events); occurring in 70 women. Intraoperative bladder perforation (15 events) occurred exclusively in the retropubic group. Neurologic adverse events were more common in the transobturator group than in retropubic (32 events vs 20 events, respectively). Twenty-three (4%) women experienced mesh complications, including delayed presentations, in both groups.
conclusionAdverse events vary by procedure, but are common after midurethral sling. Most events resolve without significant sequelae.
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.