Evidence map›Paper›PMID 25894904›Full record

ArticleInternational urogynecology journal2015

Management of recurrent stress urinary incontinence after failed midurethral sling: a survey of members of the International Urogynecological Association (IUGA).

Ilias Giarenis, Ganesh Thiagamoorthy, Martino Zacchè, Dudley Robinson, Linda Cardozo

Abstract read
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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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  3. Burch Procedure: A Historical Perspective.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Burch colposuspension.Neurourology and urodynamics · 2019
    Review
  9. Article
  10. Article
  11. Review
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

5 authors at 1 institution in 1 country.

Ilias GiarenisDepartment of Urogynaecology, Kings College Hospital, Denmark Hill, London, SE5 9RS, UK, ilias.giarenis@nhs.net.
Ganesh Thiagamoorthy
Martino Zacchè
Dudley Robinson
Linda Cardozo
King's College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisSynthetic midurethral slings (MUS) have gained popularity in the management of stress urinary incontinence (SUI), due to their efficacy and minimally invasive nature. As there are no robust data to guide management of persistent or recurrent SUI after failed MUS, the aim of this study was to evaluate the management of these cases among IUGA members.

methodsA pretested, web-based survey designed to explore assessment, surgical management and views about future research was sent to IUGA members.

resultsA total of 385 participants opened the survey and 331 eligible responses were obtained. Conventional laboratory urodynamics were the most commonly used investigation (72.6 %). The type of previous surgery, urodynamic findings and surgeon's preference/experience were considered to be the most important factors in choosing the type of surgical management. Retropubic sling (RPS) was the preferred surgical option in most of the clinical scenarios with urethral bulking agents (UBA) being more popular in the absence of urethral hypermobility after a failed RPS. While the vast majority of the respondents (93.0 %) recognized the urgent need for good quality research, they were less willing to participate in randomized controlled trials (RCT) comparing redo MUS with autologous fascial sling or colposuspension.

conclusionsMembers of IUGA prefer RPS in most patients and UBA in patients with absent urethral hypermobility and intrinsic sphincter deficiency. There is a recognized need for good quality research, but IUGA members are reluctant to participate in RCTs comparing minimally invasive to conventional surgical techniques.

Indexed as

FemaleGynecologyHumansRecurrenceSuburethral SlingsSurveys and QuestionnairesTreatment FailureUrinary Incontinence, StressUrology

Identifiers

PMID25894904
OpenAlexW2000779541

What OpenQuestion holds

Textmetadata
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.