Evidence map›Paper›PMID 29982952›Full record

ArticleInternational urogynecology journal2019

Assessment of the long-term outcome of TVT procedure for stress urinary incontinence in a female population: results at 17 years' follow-up.

Panagiotis Bakas, Emmanouel Papadakis, Charalampos Karachalios, Ilias Liapis, Nikolaos Panagopoulos, Aggelos Liapis

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2019. 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
2.6field-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, 28 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Observational
  9. Review
  10. Article
  11. 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 2 institutions in 1 country.

Panagiotis Bakas2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Vas. Sofias Av. 124a, 11526, Athens, Greece. p_bakas@yahoo.com.ORCID http://orcid.org/0000-0003-0769-9291
Emmanouel Papadakis2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Vas. Sofias Av. 124a, 11526, Athens, Greece.
Charalampos Karachalios2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Vas. Sofias Av. 124a, 11526, Athens, Greece.
Ilias LiapisMitera Maternity Hospital, Athens, Greece.
Nikolaos Panagopoulos2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Vas. Sofias Av. 124a, 11526, Athens, Greece.
Aggelos Liapis2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Vas. Sofias Av. 124a, 11526, Athens, Greece.
National and Kapodistrian University of Athens · GRMitera Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisTo assess the outcome of the tension-free vaginal tape (TVT) procedure in female patients with urodynamic stress urinary incontinence at 17 years follow-up.

methodsWe carried out a prospective study at the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece. Patients who had undergone a TVT procedure 17 years ago. The follow-up assessment included gynecological examination, urinalysis, cough stress test in the lithotomy and/or upright position, filling and voiding cystometry, and uroflow. Also, all patients were required to complete the Patient Satisfaction Questionnaire (PSQ).

resultsOut of the 61 initial patients, 56 were available for follow-up. Objective cure rate was 83.9% (47/56) at 17 years follow-up. Subjective cure rate was 78.6% (44/56), subjective improvement was 8.9%, and failure rate was 12.5%. Frequency was present in 39.3% of patients, overactive bladder symptoms were present in 30.3% of patients and urge urinary incontinence was reported by 12.5% of patients. Difficulty emptying the bladder was reported by 10 patients (17.8%) and recurrent urinary tract infection was seen in 3.5% of patients. There was one case of TVT erosion to the vaginal mucosa, which was managed conservatively.

conclusionsThe TVT procedure for the management of stress urinary incontinence in women maintains its efficacy in the long term, having an objective cure rate of 83.9% and a subjective cure rate of 78.6% at 17 years' follow-up, with a very low complications rate.

Indexed as

Suburethral SlingsAgedFemaleFollow-Up StudiesGreeceHumansMiddle AgedPatient SatisfactionPostoperative ComplicationsProspective StudiesSurveys and QuestionnairesTime FactorsTreatment OutcomeUrinary Bladder, OveractiveUrinary Incontinence, StressUrinary Incontinence, UrgeLong termOutcomeResultsStress incontinenceTension-free tapeTVT

Identifiers

PMID29982952
OpenAlexW2869189941

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.