Evidence map›Paper›PMID 37439555›Full record

ArticleInternational journal of urology : official journal of the Japanese Urological Association2023

Risk factors for stress urinary incontinence recurrence after midurethral sling revision.

Jeanne-Claire Six, Marion Pinsard, Sonia Guerin, Anis Gasmi, Jerry Coiffic, Claire Richard, Camille Haudebert, Krystel Nyangoh Timoh, Juliette Hascoet, Benoit Peyronnet

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of urology : official journal of the Japanese Urological Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07414849 (The Amper Study), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT07414849 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Amper Study: Amniotic Membrane for the Prevention of Mesh Exposure in Vaginal Reconstructive Surgery

TypeinterventionalSponsorHospital General de Agudos J. M. PennaRan2026 to 2028Enrolled330ConditionsPelvic Organ Prolapse Vaginal Surgery, Stress Urinary Incontinence in WomenArmsSacrospinous Hysteropexy with Mesh, Retropubic Mid-urethral Sling (Bottom-Up), Transobturator Mid-urethral Sling (Out-In)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

10 authors at 2 institutions in 1 country.

Jeanne-Claire SixDepartment of Obstetrics, Gynecology and Human Reproduction, University of Rennes, Rennes, France.ORCID 0009-0005-2312-6102
Marion PinsardDepartment of Obstetrics, Gynecology and Human Reproduction, University of Rennes, Rennes, France.
Sonia GuerinDepartment of Obstetrics, Gynecology and Human Reproduction, University of Rennes, Rennes, France.
Anis GasmiDepartment of Urology, University of Rennes, Rennes, France.
Jerry CoifficDepartment of Obstetrics, Gynecology and Human Reproduction, University of Rennes, Rennes, France.
Claire RichardDepartment of Urology, University of Rennes, Rennes, France.
Camille HaudebertDepartment of Urology, University of Rennes, Rennes, France.
Krystel Nyangoh TimohDepartment of Obstetrics, Gynecology and Human Reproduction, University of Rennes, Rennes, France.
Juliette HascoetDepartment of Urology, University of Rennes, Rennes, France.
Benoit PeyronnetDepartment of Urology, University of Rennes, Rennes, France.
Centre Hospitalier Universitaire de Rennes · FRUniversité Rennes 2 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to report the rate of stress urinary incontinence (SUI) recurrence after sling revision, and to determine predictive factors of SUI recurrence.

methodsWe conducted a retrospective cohort study in a single academic center between 2005 and 2022, of patients who underwent sling revision. Four surgical techniques were used for sling revision (loosening, section, partial, and total excision). The primary endpoint was recurrence of SUI at 3 months postoperatively, and the other outcome of interest was the rate of subsequent anti-incontinence surgical procedure.

resultsSixty-nine patients were included for analysis. SUI recurred in 46.4% of patients. Fifteen patients underwent a subsequent anti-incontinence procedure (21.8%). The time to revision was significantly longer in the group with recurrent SUI (median: 84.5 vs. 44.8 months; p = 0.004). The recurrence rate differed significantly depending on the revision technique: 7.7% after sling loosening, 22.2% after sling section, 60% after partial excision, and 66.7% after complete sling removal (p = 0.001). The risk of SUI recurrence was lower for those whose indication of reoperation was voiding dysfunction (27.3% vs. 66.7%; p = 0.002), and was higher for those who underwent a trans-obturator tap rather than a tension-free vaginal tape revision (68.4% vs. 35.7%; p = 0.02). In multivariate analysis, only the revision technique remained significantly associated with the risk of recurrence of SUI (complete excision vs. section: odds ratio = 4.66; p = 0.04).

conclusionThe risk of SUI recurrence may differ widely according to the techniques used, and it seems that the less extensive the surgical procedure is, the lower the risk is.

Indexed as

Suburethral SlingsUrinary IncontinenceUrinary Incontinence, StressFemaleHumansRecurrenceReoperationRetrospective StudiesRisk FactorsTreatment Outcomefemalerecurrencerevisionstress urinary incontinencesuburethral sling

Identifiers

PMID37439555
PMCPMC11524087
OpenAlexW4384120786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.