Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,014 questions · 1,050 findings · 42 reviews · Incontinence

No studies found 391 · 37.2%GRADE not reported 82 · 7.8%Very low 199 · 19%Low 206 · 19.6%Moderate 150 · 14.3%High 22 · 2.1%

Transobturator (TOR) vs retropubic (RPR) route

Repeat surgery for urinary incontinence · women with stress urinary incontinence

Transobturator (TOR) showed no clear difference in repeat incontinence surgery (short term, within 12 months) compared with retropubic (RPR) route (moderate certainty).

2 findings from 1 review

Retropubic bottom‐to‐top approach vs retropubic top‐to‐bottom approach

Subjective cure within 12 months · women with stress urinary incontinence

Retropubic bottom‐to‐top approach probably leads to higher subjective cure (short term, ≤ 1 year) compared with retropubic top‐to‐bottom approach (moderate certainty).

1 finding from 1 review

Retropubic bottom‐to‐top approach vs retropubic top‐to‐bottom approach

Bladder or urethral perforation · women with stress urinary incontinence

Retropubic bottom‐to‐top approach probably leads to lower bladder or urethral perforation compared with retropubic top‐to‐bottom approach (moderate certainty).

1 finding from 1 review

Retropubic bottom‐to‐top approach vs retropubic top‐to‐bottom approach

Denovo urgency or urgency incontinence · women with stress urinary incontinence

Retropubic bottom‐to‐top approach showed no clear difference in de novo urgency or urgency incontinence compared with retropubic top‐to‐bottom approach (low certainty).

1 finding from 1 review

Retropubic bottom‐to‐top approach vs retropubic top‐to‐bottom approach

Repeat surgery for urinary incontinence · women with stress urinary incontinence
2 findings from 1 review

Obturator medial‐to‐lateral approach vs obturator lateral‐to‐medial approach

Subjective cure within 12 months · women with stress urinary incontinence

Obturator medial‐to‐lateral approach showed no clear difference in subjective cure (short term ≤ 1 year) compared with obturator lateral‐to‐medial approach (low certainty).

1 finding from 1 review

Obturator medial‐to‐lateral approach vs obturator lateral‐to‐medial approach

Subjective cure (medium term, 1 to 5 years) · women with stress urinary incontinence

Obturator medial‐to‐lateral approach showed no clear difference in subjective cure (medium term, 1 to 5 years) compared with obturator lateral‐to‐medial approach (low certainty).

1 finding from 1 review

Obturator medial‐to‐lateral approach vs obturator lateral‐to‐medial approach

Bladder or urethral perforation · women with stress urinary incontinence

Obturator medial‐to‐lateral approach showed no clear difference in bladder or urethral perforation compared with obturator lateral‐to‐medial approach (moderate certainty).

1 finding from 1 review

Obturator medial‐to‐lateral approach vs obturator lateral‐to‐medial approach

Voiding dysfunction · women with stress urinary incontinence

Obturator medial‐to‐lateral approach probably leads to higher voiding dysfunction (short and medium term, up to 5 years) compared with obturator lateral‐to‐medial approach (moderate certainty).

1 finding from 1 review