Evidence map›Paper›PMID 40648542›Full record

ArticleHealthcare (Basel, Switzerland)2025

Outcomes of Sling Removal in Women with Chronic Voiding Dysfunction: A Retrospective Observational Study.

Clarissa Costa, Marta Barba, Desirèe De Vicari, Alice Cola, Matteo Frigerio

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Clarissa CostaDepartment of Gynecology and Obstetrics, University of Milano-Bicocca, 20126 Monza, Italy.ORCID 0009-0009-2859-4326
Marta BarbaFondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.ORCID 0000-0002-7495-7185
Desirèe De VicariDepartment of Gynecology and Obstetrics, University of Milano-Bicocca, 20126 Monza, Italy.ORCID 0009-0001-9149-1081
Alice ColaFondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Matteo FrigerioFondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.ORCID 0000-0003-3952-8462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress urinary incontinence (SUI) is a common condition that can significantly impair a woman's quality of life. While initial management includes conservative treatments, surgical options are recommended in refractory cases. Suburethral slings are currently one of the most widely recommended surgical treatments due to their high long-term efficacy. However, complications such as postoperative urinary retention can occur and may lead to chronic voiding dysfunction when not promptly diagnosed and managed. BACKGROUND/

objectivesThe aim of this study was to evaluate the long-term voiding function in women undergoing delayed sling removal or incision for neglected chronic voiding dysfunction.

methodsThis retrospective study examined women with chronic voiding dysfunction occurring at least one year after suburethral sling placement for SUI. Preoperative evaluation included comprehensive history, physical examination, urethral ultrasound, uroflowmetry, and urodynamic studies. Surgical interventions consisted of partial or complete sling removal or sling incision (unilateral or bilateral). Postoperative follow-up was conducted at one month and then at 12 months, including clinical examination, ultrasound, and symptom assessment.

resultsSixteen patients were included in the study, all of whom presented with urodynamic confirmation of voiding dysfunction. Following surgical intervention, a significant improvement was observed in voiding symptoms and overall symptoms (

conclusionsSling removal or incision has proven to be an effective approach in resolving the majority of cases of neglected chronic voiding dysfunction. These findings suggest that, when appropriately performed, surgical intervention can substantially alleviate symptoms and improve patient well-being, providing an effective therapeutic option for what is often a debilitating condition.

Indexed as

chronic urinary retentionpostoperative complicationssurgerysynthetic suburethral slingsurodynamicsvoiding dysfunction

Identifiers

PMID40648542
PMCPMC12248769

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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.