Evidence map›Paper›PMID 30142667›Full record

SynthesisRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2018

Surgical Treatment for Stress Urinary Incontinence in Women: A Systematic Review and Meta-analysis.

Letícia Maria de Oliveira, Marcia Maria Dias, Sérgio Brasileiro Martins, Jorge Milhem Haddad, Manoel João Batista Castello Girão, Rodrigo de Aquino Castro

Open access · diamondAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 15% 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, 30 citations in OpenAlex.

  1. Review
  2. 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
  3. Article
  4. 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    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

6 authors at 2 institutions in 1 country.

Letícia Maria de OliveiraDepartment of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Marcia Maria DiasDepartment of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Sérgio Brasileiro MartinsDepartment of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Jorge Milhem HaddadDepartment of Gynecology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.
Manoel João Batista Castello GirãoDepartment of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rodrigo de Aquino CastroDepartment of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare surgical treatments for stress urinary incontinence in terms of efficiency and complications. DATA SOURCES: We searched the MEDLINE and COCHRANE databases using the terms SELECTION OF STUDIES: Forty-eight studies were selected, which amounted to a total of 6,881 patients with scores equal to or higher than 3 in the Jadad scale. DATA COLLECTION: Each study was read by one of the authors, added to a standardized table and checked by a second author. We extracted data on intervention details, follow-up time, the results of treatment and adverse events. DATA SYNTHESIS: Comparing retropubic versus transobturator slings, the former was superior for both objective (odds ratio [OR], 1.27; 95% confidence interval [CI], 1.05-1.54) and subjective (OR, 1.23; 95% CI, 1.02-1.48) cures. Between minislings versus other slings, there was a difference favoring other slings for subjective cure (OR, 0.58; 95% CI, 0.39-0.86). Between pubovaginal sling versus Burch surgery, there was a difference for both objective (OR, 2.04; 95% CI, 1.50-2.77) and subjective (OR, 1.64; 95% CI, 1.10-2.44) cures, favoring pubovaginal sling. There was no difference in the groups: midurethral slings versus Burch, pubovaginal sling versus midurethral slings, transobturator slings, minislings versus other slings (objective cure). Retropubic and pubovaginal slings are more retentionist. Retropubic slings have more bladder perforation, and transobturator slings, more leg and groin pain, neurological lesion and vaginal perforation.

conclusionPubovaginal slings are superior to Burch colposuspension surgery but exhibit more retention. Retropubic slings are superior to transobturator slings, with more adverse events. Other slings are superior to minislings in the subjective aspect. There was no difference in the comparisons between midurethral slings versus Burch colposuspension surgery, pubovaginal versus midurethral slings, and inside-out versus outside-in transobturator slings.

Indexed as

FemaleHumansPostoperative ComplicationsRandomized Controlled Trials as TopicTreatment OutcomeUrinary Incontinence, StressUrologic Surgical Procedures

Identifiers

PMID30142667
PMCPMC10316922
OpenAlexW2888624260

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.