Trial reportThe Journal of urology2012
5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence.
Trial report in The Journal of urology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04843995 (The Effect of Mid-urethral Sling on the Urethral Dynamic Shape and Motion), which is not on this map. Cited by 20 papers, 4 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.
The Effect of Mid-urethral Sling on the Urethral Dynamic Shape and Motion
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- Autologous Slings in Female Stress Urinary Incontinence Treatment: Systematic Review and Meta-Analysis of Randomized Controlled Trials.International urogynecology journal · 2024Pooled it
- Traditional suburethral sling operations for urinary incontinence in women.The Cochrane database of systematic reviews · 2020Pooled it
- Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Open retropubic colposuspension for urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Two-Year Results of Burch Compared With Midurethral Sling With Sacrocolpopexy: A Randomized Controlled Trial.Obstetrics and gynecology · 2018Trial
- Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women.Obstetrics and gynecology · 2015Trial
- Patient related factors associated with long-term urinary continence after Burch colposuspension and pubovaginal fascial sling surgeries.The Journal of urology · 2012Trial
- A Medium to Long-Term Study Comparing Stress Urinary Incontinence Procedures.Neurourology and urodynamics · 2025Article
- Racial and ethnic disparity in national practice patterns for stress urinary incontinence surgery.International urogynecology journal · 2024Article
- Urethral support in female urinary continence part 1: dynamic measurements of urethral shape and motion.International urogynecology journal · 2022Article
- Long-term outcomes after sacrocolpopexy with or without transobturator tape.International urogynecology journal · 2021Observational
- Female Pelvic Medicine and Reconstructive Surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases : Series 5: management of recurrent stress urinary incontinence after midurethral sling exposure.International urogynecology journal · 2020Article
- Current Overview of Surgical Options for Female Stress Urinary Incontinence.International neurourology journal · 2020Article
- Recent advances in surgical management of urinary incontinence.F1000Research · 2019Review
- Reply to Wael Agur letter to the editor re: Gamal Ghoniem and Diaa Rizk, "Renaissance of the autologous pubovaginal sling" International Urogynecology Journal, 29 (2) 177-178.International urogynecology journal · 2018Article
- Renaissance of the autologous pubovaginal sling.International urogynecology journal · 2018Article
- Midurethral slings in the mesh litigation era.Translational andrology and urology · 2017Review
- 5-year longitudinal followup after retropubic and transobturator mid urethral slings.The Journal of urology · 2015Observational
- Tissue engineering as a potential alternative or adjunct to surgical reconstruction in treating pelvic organ prolapse.International urogynecology journal · 2013Review
- Surgical management of female SUI: is there a gold standard?Nature reviews. Urology · 2013Review
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 12 institutions in 1 country.
Funding
Abstract
purposeWe characterized continence, satisfaction and adverse events in women at least 5 years after Burch urethropexy or fascial sling with longitudinal followup of randomized clinical trial participants. MATERIALS AND
methodsOf 655 women who participated in a randomized surgical trial comparing the efficacy of the Burch and sling treatments 482 (73.6%) enrolled in this long-term observational study. Urinary continence status was assessed yearly for a minimum of 5 years postoperatively. Continence was defined as no urinary leakage on a 3-day voiding diary, and no self-reported stress incontinence symptoms and no stress incontinence surgical re-treatment.
resultsIncontinent participants were more likely to enroll in the followup study than continent patients (85.5% vs 52.2%) regardless of surgical group (p<0.0001). Overall the continence rates were lower in the Burch urethropexy group than in the fascial sling group (p=0.002). The continence rates at 5 years were 24.1% (95% CI 18.5 to 29.7) vs 30.8% (95% CI 24.7 to 36.9), respectively. Satisfaction at 5 years was related to continence status and was higher in women undergoing sling surgery (83% vs 73%, p=0.04). Satisfaction decreased with time (p=0.001) and remained higher in the sling group (p=0.03). The 2 groups had similar adverse event rates (Burch 10% vs sling 9%) and similar numbers of participants with adverse events (Burch 23 vs sling 22).
conclusionsContinence rates in both groups decreased substantially during 5 years, yet most women reported satisfaction with their continence status. Satisfaction was higher in continent women and in those who underwent fascial sling surgery, despite the voiding dysfunction associated with this procedure.
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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.