Evidence map›Paper›PMID 30615677›Full record

ArticlePloS one2019

Sonographic sling position and cure rate 10-years after TVT- O procedure.

Ayman Tamma, Vesna Bjelic-Radisic, Susanne Hölbfer, Gerda Trutnovsky, Karl Tamussino, Thomas Aigmüller, Daniela Ulrich

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04843995 (The Effect of Mid-urethral Sling on the Urethral Dynamic Shape and Motion), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT04843995 completednot on this map

The Effect of Mid-urethral Sling on the Urethral Dynamic Shape and Motion

TypeobservationalSponsorEndeavor HealthRan2012 to 2021Enrolled190ConditionsStress Urinary IncontinenceArmsMid-urethral sling
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ayman TammaDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Vesna Bjelic-RadisicDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-3749-4775
Susanne HölbferDepartment of Obstetrics and Gynecology, Wilhelminen Hospital, Vienna, Austria.
Gerda TrutnovskyDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Karl TamussinoDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Thomas AigmüllerDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Daniela UlrichDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATWilhelminen Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the position of the TVT-O sling 10 years postoperatively and its association with outcome.

methodsA total of 124 patients who received a TVT-O sling at two centers in 2004 and 2007 were invited for follow-up. The position of the sling on perineal ultrasound was described relative to the bladder neck and the lower margin of the pubic symphysis at rest and on Valsalva. Objective cure was defined as a negative cough stress test at 300 ml. Subjective cure was evaluated with the Kings´ Health Questionnaire (KHQ), Incontinence Outcome Questionnaire (IOQ), Female Sexual Function Index Questionnaire (FSFI) and the Patient Global Impression of Improvement score (PGII).

results78 of 124 patients (57%) were available for follow-up 10 years after surgery. I Eleven (14%) had undergone reoperation and were excluded. Tapes were visualized in the remaining 67 (54%) women. The subjective and objective cure rates in this sub-cohort were 67% (45/67) and 77% (52/67), respectively. In these 67 women the mean distances from the bladder neck to the proximal edge of the tape (BNTD) during Valsalva maneuver were significantly higher in cured women compared to the not-cured women (11.2 vs. 9.4mm). The distance between tape and urethra (TUD) was significantly lower in cured vs. not cured patients (2.6 vs. 4.1mm). All women with a TUD of >5mm (n = 5) were incontinent. Tape position was not associated with overactive bladder symptoms.

conclusionsTape position near the bladder neck and large distance to the urethra is associated with incontinence 10 years after TVT-O.

Indexed as

Suburethral SlingsAgedFemaleFollow-Up StudiesHumansMiddle AgedSurveys and QuestionnairesTreatment OutcomeUltrasonographyUrethraUrinary Incontinence, StressUrodynamics

Identifiers

PMID30615677
PMCPMC6322787
OpenAlexW2909590216

What OpenQuestion holds

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Registered trials

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.