Trial reportObstetrics and gynecology2013
Patient satisfaction after midurethral sling surgery for stress urinary incontinence.
Trial report in Obstetrics and gynecology, 2013. 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 12 papers, 1 of them a synthesis that pooled it.
What it found
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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
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mid-urethral sling operations for stress urinary incontinence in women.The Cochrane database of systematic reviews · 2017Pooled it
- Quality of life and sexual function after tension-free vaginal tape and polyacrylamide hydrogel injection for primary stress urinary incontinence: 3-year follow-up from a randomized clinical trial.International urogynecology journal · 2023Trial
- Tension-Free Vaginal Tape and Polyacrylamide Hydrogel Injection for Primary Stress Urinary Incontinence: 3-Year Followup from a Randomized Clinical Trial.The Journal of urology · 2022Trial
- Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women.Obstetrics and gynecology · 2015Trial
- Combined Tolterodine and Vaginal Estradiol Cream for Overactive Bladder Symptoms After Randomized Single-Therapy Treatment.Female pelvic medicine & reconstructive surgeryTrial
- Patient-reported outcomes after hysterectomy due to pelvic organ prolapse versus other indications - a 10-year national follow-up study.BMC women's health · 2026Article
- The influence of age and health status for outcomes after mid-urethral sling surgery-a nationwide register study.International urogynecology journal · 2023Article
- Patient goal achievement 2 years after a tension-free vaginal tape operation.International urogynecology journal · 2019Article
- Transobturator midurethral sling: What should patients expect after surgery?International urogynecology journal · 2018Article
- Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence.Korean journal of urology · 2015Article
- Lower urinary tract symptoms in women with diabetes mellitus: a current review.Current urology reports · 2014Review
- Effect of preoperative flow rate on postoperative retention and voiding difficulty after transobturator tape operation.Korean journal of urology · 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
9 authors.
Funding
Abstract
objectiveTo identify factors that may contribute to patient satisfaction with outcome in women who received retropubic and transobturator midurethral slings.
methodsSatisfaction was assessed 12 months postsurgery as a planned analysis in 597 participants from a multicenter randomized trial comparing retropubic with transobturator midurethral slings using the Incontinence Surgery Satisfaction Questionnaire. Significantly related variables associated with satisfaction in univariable analyses were entered into multivariable logistic regression models to test their independent association with satisfaction.
resultsOne year after surgery, 264 (88.6%) in the retropubic group and 263 (88.0%) in the transobturator group completed satisfaction questionnaires. Both treatment groups demonstrated a high level of satisfaction with respect to urine leakage (retropubic 85.9% compared with transobturator 90.0%; P=.52), urgency to urinate, frequency of urination, capability of physical activity, social activity, ability to engage in sexual activity, and from an emotional standpoint. Baseline characteristics associated with reduced satisfaction were higher Medical, Epidemiologic, and Social Aspects of Aging Questionnaire urgency subscale scores, detrusor overactivity, and diabetes mellitus. The severity of both objective (frequency of incontinence episodes, pad test weight) and subjective (Incontinence Impact Questionnaire and Urogenital Distress Inventory score) measures of incontinence at baseline and the patients' perceptions of preoperative severity of incontinence and expectations of achieving postoperative cure or improvement were not statistically different between satisfied and unsatisfied patients. In the final multivariable model, satisfaction was associated with overall treatment success (odds ratio [OR] 2.57, 95% confidence interval [CI] 1.29-5.13], greater reduction in Urogenital Distress Inventory (OR 0.97, 95% CI 0.96-0.98) and Incontinence Impact Questionnaire scores (OR 0.99, 95% CI 0.98-0.99), and fewer complications (OR 0.55, 95% CI 0.30-0.99).
conclusionThe high level of satisfaction seen after midurethral sling procedures is associated with greater objective and patient-perceived improvement of stress incontinence and fewer complications. CLINICAL
trial registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT00325039. LEVEL OF EVIDENCE: II.
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