Evidence map›Paper›PMID 31375873›Full record

Trial reportInternational urogynecology journal2020

Concomitant transobturator tape and anterior colporrhaphy versus transobturator subvesical mesh for cystocele-associated stress urinary incontinence.

Abul-Fotouh A Ahmed, Ashraf H Abdellatif, Hesham A El-Helaly, Ibrahim A Tagreda, Mohammed M El-Feky, Mohammed M Agha, Ahmed G Abdelraouf, Ahmed F Abdelrahim

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 36% 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, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Transvaginal mesh or grafts or native tissue repair for vaginal prolapse.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Article
  4. Article
  5. Urinary Incontinence and Pelvic Organ Prolapse in Women.Deutsches Arzteblatt international · 2023
    Review
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

8 authors at 2 institutions in 1 country.

Abul-Fotouh A AhmedDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt. abulfotouhahmed@yahoo.com.
Ashraf H AbdellatifDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Hesham A El-HelalyDepartment of Urology, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Ibrahim A TagredaDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Mohammed M El-FekyDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Mohammed M AghaDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Ahmed G AbdelraoufDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Ahmed F AbdelrahimDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, 11633, Egypt.
Al-Azhar University · EGFayoum University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisStress urinary incontinence (SUI) and cystocele often occur concomitantly and thus may potentially be treated via a single surgical procedure. This study evaluated the efficacy and safety of concomitant transobturator tape (TOT) with anterior colporrhaphy versus subvesical transobturator mesh (TOM) for cystocele-associated SUI.

methodsThis prospective, clinical trial included women with cystocele-associated SUI. Patients were randomly allocated into either group I (anterior colporrhaphy with concomitant TOT "in-out" fixation) or group II (implantation of a subvesical four-armed TOM). All patients were followed up at 1, 3, 6, 9, and 12 months postoperatively. Statistical tests were performed to compare the group outcomes based on objective, subjective, and anatomical variables.

resultsThere were 81 patients in group I and 83 in group II. Median follow-up duration was 12 months. The demographic data and baseline clinical characteristics of both groups were comparable. There were no significant differences between groups regarding the success rates of SUI and cystocele repair. Groups I and II had similar cure rates of SUI (82.9 and 88.4%, respectively; p = 0.369) and incidences of successful cystocele repair (85.4 and 97.7%, respectively; p = 0.055). No urethral or bladder injuries or mesh erosions were reported. Both groups had comparable postoperative complications, except the greater incidence of micturition difficulty in group I than group II, during the early follow-up (12.2% vs. 0.0%; p = 0.024).

conclusionsTransvaginal mesh was not superior to native tissue repair. Anterior colporrhaphy and TOT may be an appropriate alternative to four-armed TOM application for concomitant correction of SUI and cystocele.

Indexed as

CystoceleSuburethral SlingsUrinary Incontinence, StressFemaleHumansProspective StudiesSurgical MeshTreatment OutcomeAnterior colporrhaphyGenital prolapseStress urinary incontinenceTransobturator meshTransobturator tape

Identifiers

PMID31375873
OpenAlexW2965892462

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.