Evidence map›Paper›PMID 37428179›Full record

ArticleInternational urogynecology journal2024

Dyspareunia and pelvic pain: comparison of mid-urethral sling methods 10 years after insertion.

Anna Lundmark Drca, Vasileios Alexandridis, Maria Andrada Hamer, Pia Teleman, Marie Westergren Söderberg, Marion Ek

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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 2 institutions in 1 country.

Anna Lundmark DrcaDepartment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden. anna.lundmark-drca@regionstockholm.se.ORCID 0009-0007-0290-9268
Vasileios AlexandridisDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Maria Andrada HamerDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Pia TelemanDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.
Marie Westergren SöderbergDepartment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Marion EkDepartment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe mid-urethral sling (MUS) has been used for more than 30 years to cure stress urinary incontinence. The objective of this study was to assess whether surgical technique affects the outcome after more than ten years, regarding dyspareunia and pelvic pain.

methodsIn this longitudinal cohort study we used the Swedish National Quality Register of Gynecological Surgery to identify women who underwent MUS surgery in the period 2006-2010. Out of 4348 eligible women, 2555 (59%) responded to the questionnaire sent out in 2020-2021. The two main surgical techniques, the retropubic and the obturatoric approach, were represented by 1562 and 859 women respectively. The Urogenital Distress Inventory-6 (UDI-6) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), as well as general questions concerning the MUS surgery, were sent out to the study population. Dyspareunia and pelvic pain were defined as primary outcomes. Secondary outcomes included PISQ-12, general satisfaction, and self-reported problems due to sling insertion.

resultsA total of 2421 women were included in the analysis. Among these, 71% responded to questions regarding dyspareunia and 77% responded to questions regarding pelvic pain. In a multivariate logistic regression analysis of the primary outcomes, we found no difference in reported dyspareunia (15% vs 17%, odds ratio (OR) 1.1, 95% CI 0.8-1.5) or in reported pelvic pain (17% vs 18%, OR 1.0, 95% CI 0.8-1.3) between the retropubic and obturatoric techniques among study responders.

conclusionDyspareunia and pelvic pain 10-14 years after insertion of a MUS do not differ with respect to surgical technique.

Indexed as

DyspareuniaSuburethral SlingsUrinary Incontinence, StressFemaleHumansLongitudinal StudiesPelvic PainTreatment OutcomeUrologic Surgical ProceduresDyspareuniaMid urethral slingPelvic painSexual dysfunctionStress urinary incontinence

Identifiers

PMID37428179
PMCPMC10811085
OpenAlexW4383711025

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LicenceCC BY
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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.