Evidence map›Paper›PMID 42399922›Full record

Observational studyBMC surgery2026

A prospective observational cohort study comparing perioperative outcomes, complications, and quality of life between surgical procedures for female stress urinary incontinence.

Jiali Jiang, Tangxiaoman Wang, Qiuya Deng, Yurong Zhang

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC surgery, 2026. 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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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.

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

4 authors.

Jiali JiangDepartment of Gynecology, Yongzhou Central Hospital, No. 396, Yiyun Road, Lengshuitan District, Yongzhou, Hunan Province, 425000, China.
Tangxiaoman WangReproductive Medicine Center, Yongzhou Central Hospital, Yongzhou, 425000, China.
Qiuya DengDepartment of Gynecology, Yongzhou Central Hospital, No. 396, Yiyun Road, Lengshuitan District, Yongzhou, Hunan Province, 425000, China.
Yurong ZhangDepartment of Gynecology, Yongzhou Central Hospital, No. 396, Yiyun Road, Lengshuitan District, Yongzhou, Hunan Province, 425000, China. zhangyur2017@126.com.

Funding

Natural Science Foundation of Hunan Province 2025JJ70519Yongzhou City Guiding Science and Technology Project 2024YZ077
6 · The paper itself

Abstract

objectiveTo compare perioperative outcomes, complications, and quality of life between tension-free vaginal tape obturator (TVT-O) and retropubic tension-free vaginal tape exact (TVT-E) procedures for female severe stress urinary incontinence (SUI).

methodsThis prospective cohort study enrolled women undergoing surgery for severe stress urinary incontinence (December 2023-February 2025). Patients were grouped by procedure (TVT-O vs. TVT-E). We compared perioperative data, complications, quality-of-life scores (ICI-Q-SF, IIQ-7, PISQ-12 at 6 and 12 months), and 12-month objective cure rates. Kaplan-Meier curves assessed cumulative recurrence.

resultsOf 120 patients enrolled (TVT-O: 66; TVT-E: 54), baseline characteristics were comparable (P > 0.05). Operative time was significantly shorter in the TVT-O group (P < 0.001), with no significant differences in blood loss, catheterization time, or hospital stay. Complication rates were similar (TVT-O: 21.21% vs. TVT-E: 18.52%, P = 0.710), including specific complications like groin pain. Both groups showed significant postoperative quality-of-life improvements (P < 0.001), but between-group differences were not significant. At 12 months, objective cure rates and cumulative recurrence-free survival were comparable between groups.

conclusionBoth TVT-O and TVT-E are safe and effective for severe SUI, significantly improving quality of life. TVT-O offers shorter operative time with equivalent efficacy and complication rates to TVT-E.

Indexed as

Postoperative ComplicationsQuality of LifeSuburethral SlingsUrinary Incontinence, StressAgedFemaleHumansMiddle AgedOperative TimeProspective StudiesTreatment OutcomeComplicationsPerioperative outcomesQuality of lifeSevere stress urinary incontinenceTension-free vaginal tape obturatorTransobturator vaginal tape exact

Identifiers

PMID42399922
PMCPMC13602776

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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.