ReviewInternational urogynecology journal2013
Pain after suburethral sling insertion for urinary stress incontinence.
Review in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03479996 (Evaluation of Postoperative Pain After Tension-free Obturator Tape Operation), which is not on this map. Cited by 10 papers.
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.
Evaluation of Postoperative Pain After Tension-free Obturator Tape Operation (TVT-O) With or Without Local Anesthetic
Who cites it
10 citing papers in PubMed.
- Intra-obturator bupivacaine injection and post-operative pain following the trans-obturator tension-free vaginal tape procedure: randomized study.Archives of gynecology and obstetrics · 2024Trial
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Complications following retropubic versus transobturator midurethral synthetic sling placement.International urogynecology journal · 2023Article
- Survey on surgery for stress urinary incontinence in an era mid-urethral slings are being questioned.International urogynecology journal · 2020Review
- Management of complications arising from the use of mesh for stress urinary incontinence-International Urogynecology Association Research and Development Committee opinion.International urogynecology journal · 2019Review
- Clitoral Pain Following Retropubic Midurethral Sling Placement.Sexual medicine · 2015Article
- Vaginal excision of the sub-urethral sling: analysis of indications, safety and outcome.Archives of medical science : AMS · 2015Article
- The Single-Incision Sling to Treat Female Stress Urinary Incontinence: A Dynamic Computational Study of Outcomes and Risk Factors.Journal of biomechanical engineering · 2015Article
- Decreasing transobturator sling groin pain without decreasing efficacy using TVT-Abbrevo.International urogynecology journal · 2015Article
- [Adjustable transobturatoric sling system in men : diagnosis and therapy recommendations to persistent pain].Der Urologe. Ausg. A · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPain after suburethral sling insertion is an uncommon, but troublesome complication of continence surgery; in some cases it can cause significant distress and disability. It is often not recognised, poorly diagnosed and treated by gynaecologists and urologists unfamiliar with the condition.
methodsA literature review was performed and the current evidence on pain after suburethral sling insertion reviewed.
resultsThe tension-free vaginal tape-obturator (TVT-O) procedure is associated with an increased incidence of early groin pain, but this often resolves with expectant management. Chronic pain may be difficult to treat. The injection of local anaesthetic and steroid solutions may provide relief in some patients. Cognitive behavioural therapy has a place in treatment. In resistant cases, surgical excision may be needed. Retropubic slings can be removed laparoscopically or by open exploration of the Cave of Retzius. Obturator tapes may require groin exploration.
conclusionsSling removal may result in recurrent incontinence and further tissue and nerve damage. It does not always cure pain and may exacerbate the problem.
Indexed as
Identifiers
22752013What 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.