Evidence map›Paper›PMID 30715577›Full record

ArticleInternational urogynecology journal2019

Transobturator mid-urethral sling in females with stress urinary incontinence and detrusor underactivity: effect on voiding phase.

Franca Natale, Ester Illiano, Alessandro Zucchi, Matteo Balzarro, Chiara La Penna, Elisabetta Costantini

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. [Effects of retropubic and obturator urethral suspension on postoperative maximum flow rate and residual urine volume].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Irreversible Bladder Remodeling Induced by Fibrosis.International neurourology journal · 2021
    Article
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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 4 institutions in 1 country.

Franca NataleUrogynecology Unit, San Carlo di Nancy Hospital, Via Ottorino Lazzarini, 5, 00136, Rome, Italy. francanatale3@gmail.com.ORCID 0000-0002-4099-3233
Ester IllianoAndrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Perugia, Italy.
Alessandro ZucchiDepartment of Surgical and Biomedical Sciences, Urology and Andrology Clinic, University of Perugia, Perugia, Italy.
Matteo BalzarroDepartment of Urology, Azienda Ospedaliera Universitaria Integrata (A.O.U.I.), Verona, Italy.
Chiara La PennaSection of Gynecology and Obstetrics, Department of Surgery, "Tor Vergata" University, Rome, Italy.
Elisabetta CostantiniAndrology and Urogynecology Clinic, Santa Maria Terni Hospital, University of Perugia, Perugia, Italy.
University of Perugia · ITAzienda Ospedaliera Universitaria Integrata Verona · ITOspedale San Carlo · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisTo assess whether detrusor underactivity (DU) is a risk factor for voiding dysfunction (VD) after transobturator tape (TOT) and if a detrusor pressure at maximum flow (PdetQmax) value predicts postoperative VD in DU patients. Also, we examined uncomplicated patients for postoperative VD.

methodsThis is a prospective long-term study on SUI patients who underwent TOT. Exclusion criteria were preoperative POP stage ≥ 2, previous anti-incontinence surgery and comorbidities. Patients were grouped by detrusor contractility using the projected isovolumetric pressure (PIP) index (PdetQmax + maximum flow rate) with values of 30-75 cmH

resultsIn 2007-2013, 118 patients underwent TOT. We included 50 in the undercontractility group (G1) and 50 in the normocontractility group (G2). Continence rates were 82% in G1 and 84% in G2 (mean follow-up 76 months). VD increased from 18 to 36% (p < 0.05) in G1 and from 14 to 16% (p = 0.198) in G2. De novo VD was 28% in G1 and 2% in G2. In the G1 group PdetQmax ≤ 12 cmH

conclusionsDU adversely affects the voiding phase of micturition after TOT. In DU patients, PdetQmax ≤ 12 cmH

Indexed as

AdultAgedDiagnostic Techniques, UrologicalFemaleHumansMiddle AgedPostoperative ComplicationsProspective StudiesRisk FactorsSensitivity and SpecificitySuburethral SlingsSurveys and QuestionnairesUrinary Bladder, UnderactiveUrinary Incontinence, StressUrinary RetentionUrinationDetrusor underactivityLong-term follow-upProjected isovolumetric pressureQuality of lifeSUI surgeryTrans-obturator mid-urethral slingUncomplicated SUI patientsUrodynamicsVoiding dysfunction

Identifiers

PMID30715577
OpenAlexW2912073273

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.