Evidence map›Paper›PMID 31956938›Full record

ArticleInternational urogynecology journal2020

Long-term re-procedure rate after mid-urethral slings for stress urinary incontinence.

Sari Tulokas, Päivi Rahkola-Soisalo, Mika Gissler, Tomi S Mikkola, Maarit J Mentula

Open access · hybridAbstract read
In one paragraph

Article 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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  9. 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
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  13. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Sari TulokasDepartment of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, PO Box 140, 00029, Helsinki, Finland.
Päivi Rahkola-SoisaloDepartment of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, PO Box 140, 00029, Helsinki, Finland.
Mika GisslerNational Institute for Health and Welfare (THL), 00300, Helsinki, Finland.
Tomi S MikkolaDepartment of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, PO Box 140, 00029, Helsinki, Finland.
Maarit J MentulaDepartment of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, PO Box 140, 00029, Helsinki, Finland. Maarit.Mentula@hus.fi.
Helsinki University Hospital · FIFinnish Institute for Health and Welfare · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisLong-term safety concerns have risen over the mid-urethral sling operation (MUS) for stress urinary incontinence (SUI), which in some countries has led to litigations and even suspending MUS insertions. We examined the long-term re-procedure rate after MUS operations. The main outcome was re-procedures for SUI. The secondary outcome was surgical interventions due to complications.

methodsWe analysed a retrospective population cohort of 3531 women with MUS operations in 2000-2006 and followed them up until 31 December 2016. Data were collected from a national hospital register and from hospital patient records.

resultsThe median follow-up time was 13 years (IQR 11.6-14.8) for the 3280 women with a retropubic MUS (RP-MUS) and 11 years (IQR 10.3-11.9) for the 245 women with a transobturator MUS (TO-MUS). The cumulative number of re-procedures for SUI was 16 (0.5%) at 1 year, 66 (1.9%) at 5 years, 97 (2.8%) at 10 years and 112 (3.2%) at 17 years. This risk was higher after TO-MUS than after RP-MUS operations (OR 3.6, 95% CI 2.5-5.2, p < 0.001). The cumulative number of any long-term re-procedure was 43 (1.2%) at year 1, 105 (3.0%) at year 5, 144 (4.1%) at year 10 and 163 (4.6%) at year 17.

conclusionsRe-procedures occur up to 17 years after primary MUS insertion, but their incidence is low after the first few postoperative years. Re-procedures for recurrent SUI are more common after TO-MUS than RP-MUS.

Indexed as

Suburethral SlingsUrinary Incontinence, StressAgedFemaleHumansMiddle AgedReoperationRetrospective StudiesUrologic Surgical ProceduresMesh tapeMid-urethral slingStress urinary incontinenceTOTTVT

Identifiers

PMID31956938
PMCPMC7170977
OpenAlexW3001596087

What OpenQuestion holds

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Registered trials

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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.