Findings

What do systematic reviews say?

11 questions · 12 findings · 1 reviews

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No studies found 0 · 0%GRADE not reported 1 · 8.3%Very low 0 · 0%Low 2 · 16.7%Moderate 9 · 75%High 0 · 0%

Transobturator (TOR) vs retropubic (RPR) route

Subjective cure within 12 months · women with stress urinary incontinence

Transobturator (TOR) showed no clear difference in subjective cure (Short term < 1 year) compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.98 [0.96, 1]
36 studies · 5514 participants
Moderate

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

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 1.64 [0.85, 3.16]
9 studies · 1402 participants
Moderate
Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 8.79 [3.36, 23]
4 studies · 695 participants
Low

Transobturator (TOR) vs retropubic (RPR) route

Quality of life · women with stress urinary incontinence

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
no estimate extracted
11 studies · 11 participants
GRADE not reported

Transobturator (TOR) vs retropubic (RPR) route

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

Transobturator (TOR) showed no clear difference in subjective cure (medium term, 1 to 5 years) compared with retropubic (RPR) route (low certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.97 [0.92, 1.03]
5 studies · 683 participants
Low

Transobturator (TOR) vs retropubic (RPR) route

Subjective cure · women with stress urinary incontinence

Transobturator (TOR) showed no clear difference in subjective cure (long term, > 5 years) compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.95 [0.87, 1.04]
4 studies · 714 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Bladder or urethral perforation · women with stress urinary incontinence

Transobturator (TOR) probably leads to lower bladder or urethral perforation compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.13 [0.08, 0.2]
40 studies · 6372 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Voiding dysfunction · women with stress urinary incontinence

Transobturator (TOR) probably leads to lower voiding dysfunction (short and medium term, up to 5 years) compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.53 [0.43, 0.65]
37 studies · 6217 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Denovo urgency or urgency incontinence · women with stress urinary incontinence

Transobturator (TOR) showed no clear difference in de novo urgency or urgency incontinence (short term, up to 12 months) compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.98 [0.82, 1.17]
31 studies · 4923 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Groin pain · women with stress urinary incontinence

Transobturator (TOR) probably leads to higher groin pain compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 4.62 [3.09, 6.92]
18 studies · 3226 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Suprapubic pain · women with stress urinary incontinence

Transobturator (TOR) probably leads to lower suprapubic pain compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.29 [0.11, 0.78]
4 studies · 1105 participants
Moderate

Transobturator (TOR) vs retropubic (RPR) route

Vaginal tape erosion · women with stress urinary incontinence

Transobturator (TOR) showed no clear difference in vaginal tape erosion (short and medium term, up to 5 years) compared with retropubic (RPR) route (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 1.13 [0.78, 1.65]
31 studies · 4743 participants
Moderate