Evidence map›Paper›PMID 35982168›Full record

ArticleWorld journal of urology2022

Transobturator tape versus single incision sling: how are they different? Clinical outcomes and ultrasonographic features of two mid-urethral slings.

Daniela Caramazza, Giuseppe Campagna, Francesca Moro, Lorenzo Vacca, Monia Marturano, Sara Pizzacalla, Ilaria Nausica Trivellizzi, Giovanni Panico, Giovanni Scambia, Alfredo Ercoli and 1 more

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Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

11 authors at 4 institutions in 1 country.

Daniela CaramazzaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Giuseppe CampagnaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Francesca MoroDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC di Ginecologia Oncologica, Rome, Italy. uroginecologiacolumbus@gmail.com.
Lorenzo VaccaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Monia MarturanoDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Sara PizzacallaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Ilaria Nausica TrivellizziPolo Ospedaliero "G.Mazzini" Teramo, ASL Teramo, UOC Ginecologia e Ostetricia, Teramo, Italy.
Giovanni PanicoDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC Uroginecologia e Medicina e Chirurgia Ricostruttiva Pelvica Femminile, Rome, Italy.
Giovanni ScambiaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC di Ginecologia Oncologica, Rome, Italy.
Alfredo ErcoliPID Ginecologia Oncologica e Chirurgia Ginecologica Mininvasiva, Università degli Studi di Messina, Policlinico G. Martino, Messina, Italy.
Antonia Carla TestaDipartimento di Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli-IRCCS, UOC di Ginecologia Oncologica, Rome, Italy.
Agostino Gemelli University Polyclinic · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITUniversity of Teramo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStress urinary incontinence (SUI) is usually treated with mid-urethral slings. The best approach is still debated and the relationship between slings and pelvic structures is not completely understood. The aim of this study is to identify any difference between trans-obturator tape (TOT) and single incision sling (minisling).

methodsPatients submitted to TOT or minisling were included in the study. Q-tip and stress test, ICIQ-SF questionnaire, PGI-I validated score, and 2D/3D transvaginal ultrasound parameters were collected at 1- and 6-month follow-up. Correlations between ultrasound parameters and clinical outcomes, PGI-I and ICIq-SF, were performed.

results61 patients were included in the study. PGI-I score was significantly lower in the minisling group than in TOT group at 1-month (p = 0.016) and 6-month follow-up (p = 0.076). The median distance between the sling and the lumen of urethra was significantly higher and the angle between the branches of the sling was significantly narrower in the minisling group. There were significant differences in distances between the sling and the bladder neck at 1-month and 6-month follow-up. An inverse correlation between angle of the branches and the Q-tip test was observed (p = 0.059 Pearson's Rho - 0.578). PGI-I correlated also with angle of the branches (p = 0.009, Pearson's Rho 0.503).

conclusionPatients undergoing TOT or minisling are similarly satisfied but show differences at ultrasound exam at 1- and 6-month follow-up. Pelvic floor ultrasound could be used in a short-term follow-up to visualize the sling position and to plan the most appropriate follow-up strategy.

Indexed as

Suburethral SlingsUrinary Incontinence, StressHumansPelvic FloorTreatment OutcomeUrethraUrologic Surgical Procedures3D ultrasoundMid-urethral slingPelvic floorPelvic floor ultrasoundUrinary incontinence

Identifiers

PMID35982168
OpenAlexW4293805109

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.