Evidence map›Paper›PMID 26413346›Full record

ArticleArab journal of urology2015

Use of surgeon-tailored polypropylene mesh as a needle-less single-incision sling for treating female stress urinary incontinence: Preliminary results.

Mohammed S ElSheemy, Hisham Ghamrawy, Hesham Fathy, Hussein A Hussein, Eman A Hussein, Ahmed Aly, Sherif Abdel Rahman

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Article in Arab journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

7 authors.

Mohammed S ElSheemyUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.
Hisham GhamrawyUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.
Hesham FathyUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.
Hussein A HusseinUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.
Eman A HusseinDepartment of Gynecology and Obstetrics, Cairo University, Cairo, Egypt.
Ahmed AlyUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.
Sherif Abdel RahmanUrology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the safety and efficacy of a procedure using surgeon-tailored polypropylene mesh (STM) through a needle-less single-incision technique for treating stress urinary incontinence (SUI), aiming to decrease the cost of treatment, which is important in developing countries. PATIENTS AND

methodsIn all, 43 women diagnosed using a cough stress test were treated from January 2011 to June 2013 at the Urology and Gynaecology Departments (dual-centre), Cairo University Hospitals. Previous surgery was not a contra-indication. Patients with a postvoid residual urine volume of >100 mL, a bladder capacity of <300 mL, impaired compliance or neurological lesions were excluded. The Stress and Urge incontinence Quality of life Questionnaire (SUIQQ) and urodynamic variables were compared before and after surgery. The variables were compared between the baseline and postoperative follow-up values using a paired t-test, a Wilcoxon signed-rank test or McNemar's test.

resultsThe mean age was 42.7 years and 20 (47%) patients had associated urgency UI (UUI), whilst 21 (49%) had intrinsic sphincter deficiency. The median (range) operative duration was 14 (5-35) min. There were no complications during surgery. The mean (SD, range) follow-up was 28.1 (5.1, 18-36) months. Postoperative complications were vaginal discharge (5%), failure of wound healing (5%), dyspareunia (5%) and UTI (5%). The sling was removed in one case. SUI, UUI and quality-of-life indices improved significantly after surgery. There were no significant differences in pressure-flow studies before and after surgery. In all, 38 (88%) patients were cured, four (9%) improved and in one only the treatment failed (2%).

conclusionThis technique is simple, safe, effective, reproducible and economical for treating SUI. The STM was easy to insert in a short operation.

Indexed as

ALPP, abdominal leak-point pressureCST, cough stress testDO, detrusor overactivityFemaleISD, intrinsic sphincter deficiency(M)(U)(S)UI, (mixed) (urge) (stress) urinary incontinenceNSIT, needle-less single-incision techniquePdetQmax, detrusor pressure at maximum urinary flow ratePolypropylene meshPVR, postvoid residual urineQmax, maximum urinary flow rateQoL, quality of lifeSingle incisionSTM, surgeon-tailored ordinary polypropylene meshStress urinary incontinenceSUIQQ, Stress and Urge Incontinence Quality of life QuestionnaireSUI, stress urinary incontinenceTVT, tension-free vaginal tape

Identifiers

PMID26413346
PMCPMC4563014

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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.