Evidence map›Paper›PMID 25576468›Full record

ArticleInternational urogynecology journal2015

Outcomes of midurethral sling procedures in women with mixed urinary incontinence.

Jonathan L Gleason, Alison M Parden, Victoria Jauk, Alicia Ballard, Vivian Sung, Holly E Richter

Open access · greenAbstract readComparative Study
In one paragraph

Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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 · 2026
    Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Investigative and clinical urology · 2019
    Article
  12. Predicting urinary incontinence after surgery for pelvic organ prolapse.Current opinion in obstetrics & gynecology · 2016
    Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jonathan L GleasonDepartment of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA, jlgleason@carilionclinic.org.
Alison M Parden
Victoria Jauk
Alicia Ballard
Vivian Sung
Holly E Richter
University of Alabama at Birmingham · USBrown University · USCarilion Clinic · US

Funding

Mid Career Award in Patient Oriented Pelvic Floor ResearchK24DK068389 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RICHTER, HOLLY E · 2005 to 2014
$1.7M
NIDDK NIH HHS 2 K24-DK068389NIDDK NIH HHS K24 DK068389
6 · The paper itself

Abstract

introduction and hypothesisThe objective was to compare midurethral sling (MUS) urinary outcomes in women with stress urinary incontinence (SUI) only versus mixed UI (MUI).

methodsThis was a retrospective cohort study of women who underwent primary MUS surgery for SUI. MUI was defined as at least "moderately" bothersome urgency and stress incontinence on the Urinary Distress Inventory (UDI-6) subscale of the Pelvic Floor Distress Inventory-20 (PFDI-20). The primary outcome was SUI cure defined by a response of "no," "not at all," or "somewhat" bothersome SUI on both of the two UDI-6 stress subscale items. Symptom impact was assessed using the Urinary Impact Questionnaire (UIQ-7). Multivariable models assessed the effect of MUI on SUI outcomes.

resultsOne thousand one hundred and ninety-one primary MUS procedures were reviewed. Seven hundred and fifteen out of 1,191 (60%) questionnaires were returned and 534 out of 715 (75%) had completed baseline and follow-up questionnaires. Mean (± SD) follow-up time was 35 ± 15 months. Women with MUI had a higher (worse) baseline total score on the UDI-6 (p ≤ 0.001). A lower proportion of women with MUI had SUI success compared with the SUI only group (64 vs 84.5%, p <  0.001). On multivariable analyses, women in the MUI group were at an increased risk of SUI failure (OR 2.5, 95% CI 1.6, 4.0), but greater improvements in UDI-6 (-31.6 ± 30.6 vs -15.5 ± 25.1), and UIQ-7 scores (-21.7 ± 35.3 vs -15.1 ± 28.2) compared with women with SUI only (all p < 0.02).

conclusionsWomen with MUI are at an increased risk of SUI failure after MUS compared with women with SUI only, but experience greater overall improvement in the impact of urinary symptoms on the quality of life.

Indexed as

Suburethral SlingsAgedFemaleFollow-Up StudiesHumansMiddle AgedPatient SatisfactionQuality of LifeRecurrenceRetrospective StudiesSeverity of Illness IndexSurveys and QuestionnairesTreatment OutcomeUrinary Incontinence, StressUrinary Incontinence, Urge

Identifiers

PMID25576468
PMCPMC4409491
OpenAlexW2027825127

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.