Evidence map›Paper›PMID 27999787›Full record

ArticleBioMed research international2016

The Outcome of Repeated Mid Urethral Sling in SUI Treatment after Vaginal Excisions of Primary Failed Sling: Preliminary Study.

Jacek Kociszewski, Wojciech Majkusiak, Andrzej Pomian, Paweł Tomasik, Edyta Horosz, Andrzej Kuszka, Ewa Barcz

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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 at 1 institution in 1 country.

Jacek KociszewskiEvangelisches Krankenhaus Hagen-Haspe, Hagen, Germany.ORCID 0000-0002-0286-9944
Wojciech Majkusiak1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
Andrzej Pomian1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
Paweł Tomasik1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
Edyta Horosz1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
Andrzej KuszkaEvangelisches Krankenhaus Hagen-Haspe, Hagen, Germany.
Ewa Barcz1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.ORCID 0000-0002-1289-9442
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mid urethral sling is the standard in SUI treatment. Nevertheless, the risk of reoperation reaches 9%. There is no consensus as to the best treatment option for complications. A question is raised: what is the optimal way to achieve the best result in patients after primary failure? The aim of the study was to evaluate the outcomes of repeat MUS surgery in patients after excision of the sling with recurrent SUI. We compared its effectiveness with uncomplicated cases treated with TVT. 27 patients who underwent the repeated MUS and 50 consecutive patients after primary TVT were enrolled in the study. After 6 months, we have found that 24 (88.46%) patients from repeat sling group and 48 (96%) patients after primary sling were dry (1-hour pad test, 2 g or less). The difference between groups was not significant. We showed statistically significant improvement of quality of life in both groups. In conclusion, we showed that repeated sling after MUS excision is almost as effective as primary MUS. We postulate that sling excision and repeated MUS may be the best option for persistent SUI and/or complications after MUS procedures. Further multicenter observations are ongoing as to provide results on bigger group of cases.

Indexed as

Prosthesis FailureQuality of LifeSuburethral SlingsUrinary Incontinence, StressAftercareAgedFemaleHumansMiddle Aged

Identifiers

PMID27999787
PMCPMC5141316
OpenAlexW2550376935

What OpenQuestion holds

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LicenceCC BY
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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.