Evidence map›Paper›PMID 28780649›Full record

SynthesisInternational urogynecology journal2017

De novo overactive bladder following midurethral sling procedures: a systematic review of the literature and meta-analysis.

Vasilios Pergialiotis, Zini Mudiaga, Despina N Perrea, Stergios K Doumouchtsis

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Retropubic versus transobturator slings: Medium-term satisfaction and overactive bladder outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  6. Detrusor Overactivity and Urodynamics.Neurourology and urodynamics · 2026
    Review
  7. Article
  8. Article
  9. Use of synthetic slings in the treatment of female stress urinary incontinence: Number 2 - 2025.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Article
  10. Article
  11. Review
  12. 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The evolution of incontinence into resolved, refractory andInvestigative and clinical urology · 2021
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Vasilios PergialiotisLaboratory of Experimental Surgery and Surgical Research N.S. Christeas, Athens University Medical School, 6, Danaidon str, 15232, Halandri, Greece. pergialiotis@yahoo.com.ORCID http://orcid.org/0000-0003-3409-0844
Zini MudiagaDepartment of Obstetrics and Gynaecology, Epsom & St Helier University Hospitals NHS Trust, London, UK.
Despina N PerreaLaboratory of Experimental Surgery and Surgical Research N.S. Christeas, Athens University Medical School, 6, Danaidon str, 15232, Halandri, Greece.
Stergios K DoumouchtsisLaboratory of Experimental Surgery and Surgical Research N.S. Christeas, Athens University Medical School, 6, Danaidon str, 15232, Halandri, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisDe novo overactive bladder (OAB) is a known complication of midurethral sling surgery for the treatment of stress urinary incontinence. To date, differences in the incidence of de novo OAB following the use of different types of midurethral sling remain relatively unknown. The purpose of the present systematic review was to evaluate this incidence and summarize current evidence.

methodsWe systematically searched the literature using the MEDLINE, Embase, Scopus, ClinicalTrials.gov, LILACS and Cochrane Central Register of Controlled Trials databases as well as the grey literature and references from the electronically retrieved articles. For comparisons of proportions, we used the chi-squared test. All reported analyses were designed as two-tailed. Statistical significance was set at p < 0.05.

resultsFinally, 32 studies were included in this systematic review, with a total of 3,139 patients who had undergone midurethral sling procedures that included transobturator tapes (TOT), retropubic tapes (TVT) or single-incision tapes (mini-slings). The overall incidence of de novo OAB was 11.5% in nonrandomized studies (280 women) and 6.4% in randomized studies (50 women). In relation to the type of midurethral sling, the incidence of de novo OAB was 9.7% for mini-slings, 11.2% for TVT-O, 8.7% for TOT and 9.8% for TVTs. The chi-squared test did not reveal significant differences (p = 0.58).

conclusionsCurrent evidence suggests that the overall incidence of de novo OAB following midurethral sling procedures is approximately 9%. There is not enough evidence to support differences in the effects of the different types of sling with regard to this particular postoperative complication.

Indexed as

FemaleGynecologic Surgical ProceduresHumansPostoperative ComplicationsSuburethral SlingsUrinary Bladder, OveractiveUrinary Incontinence, StressIncontinenceOveractive bladderStress urinary incontinenceUrethral slingsUrgency

Identifiers

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.