Evidence map›Paper›PMID 35353246›Full record

Trial reportInternational urogynecology journal2022

Using clinical estimate or catheter measurement of urethral mid-point result in similar retropubic mid-urethral sling position: a randomized trial.

H C Barnes, A Akl, S K Taege, C Brincat, L Brubaker, E R Mueller

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 94% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

H C BarnesDivision of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL, 60153, USA.
A AklDivision of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL, 60153, USA.
S K TaegeDivision of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL, 60153, USA.
C BrincatDivision of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Rush University Medical Center, Chicago, IL, USA.
L BrubakerDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, La Jolla, CA, USA.
E R MuellerDivision of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine, Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, IL, 60153, USA. emuelle@lumc.edu.ORCID 0000-0003-3069-4069
Loyola University Medical Center · USRush University Medical Center · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to determine whether standardized, intraoperative urethral measurement improves retropubic mid-urethral sling (RPMUS) positioning and if the intraoperative position remains stable at 2 weeks postoperatively.

methodsParticipants undergoing a RPMUS were randomized to mid-urethral placement as per usual surgical care (no Foley catheter measurement, no-FCM) vs urethral mid-point Foley catheter measurement (FCM). The primary outcomes were RPMUS location as determined by 2D and 3D ultrasound 2 weeks postoperatively (as percentage from urethral meatus - relative to the urethral length) and intraoperatively following the RPMUS placement.

resultsForty-four women enrolled, underwent RPMUS, and provided baseline data and intraoperative ultrasound measurements; of these, 36 (82%) had interpretable intraoperative and postoperative ultrasound measurements. Demographic data were similar in the two groups. The mean RPMUS mid-point was 57 % and 55 % in measured and controls (p = 0.685); this same measurement was relatively unchanged at 2 weeks postoperatively at 57% and 54% respectively (p = 0.538). Very much and much improvement was reported on the PGI-I by 84% and 85% of participants in the FCM and no-FCM groups respectively.

conclusionsIntraoperative RPMUS position at 2 weeks after surgery is similar to the intraoperative position. Compared with usual surgical care, intraoperative measurement of urethral mid-point with a Foley catheter did not affect RPMUS sling position.

Indexed as

Suburethral SlingsUrinary Incontinence, StressCathetersFemaleHumansUrethraUrologic Surgical Procedures3D ultrasoundFemaleSuburethral slingsUrinary incontinence, stress

Identifiers

PMID35353246
OpenAlexW4221137855

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.