What do systematic reviews say?

Surgery with excision of failed tape vs surgery without excision of tape

The review found no eligible studies for this question.

• Interventions for treating recurrent stress urinary incontinence after failed minimally invasive synthetic midurethral… 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

One type of repeat midurethral tape vs another type of repeat midurethral tape

The review found no eligible studies for this question.

• Interventions for treating recurrent stress urinary incontinence after failed minimally invasive synthetic midurethral… 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)

The review found no eligible studies for this question.

• Interventions for treating recurrent stress urinary incontinence after failed minimally invasive synthetic midurethral… 2019 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Laparoscopic colposuspension vs midurethral sling procedures

Laparoscopic colposuspension showed no clear difference in repeat continence surgery: compared with midurethral sling procedures (low certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.4 [0.04, 3.62]
  1 study · 70 participants
  Low

Laparoscopic colposuspension with one suture vs laparoscopic colposuspension with two sutures

Laparoscopic colposuspension with one suture showed no clear difference in repeat continence surgery: compared with laparoscopic colposuspension with two sutures (low certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.35 [0.01, 8.37]
  1 study · 157 participants
  Low

Laparoscopic colposuspension with sutures vs laparoscopic colposuspension with mesh and staples

It is very uncertain whether laparoscopic colposuspension with sutures changes repeat continence surgery: compared with laparoscopic colposuspension with mesh and staples (very low certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.97 [0.06, 14.91]
  1 study · 69 participants
  Very low

Laparoscopic colposuspension vs open colposuspension

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  GRADE not reported

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

Obturator medial‐to‐lateral approach showed no clear difference in repeat incontinence surgery (short term, up to 12 months) compared with obturator lateral‐to‐medial approach (low certainty).

• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  RR 0.64 [0.32, 1.3]
  2 studies · 532 participants
  Low
• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported

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

• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported
• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported

Traditional suburethral sling operation vs drugs

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs no treatment/sham

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs anterior repair

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs bladder neck (needle) suspension

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs laparoscopic colposuspension

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs a single‐incision sling (mini‐sling)

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Traditional suburethral sling operation vs conservative management

The review found no eligible studies for this question.

• Traditional suburethral sling operations for urinary incontinence in women 2020 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Monofilament vs multifilament tapes

• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported
• Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
  no estimate extracted
  0 studies · 0 participants
  GRADE not reported

Transobturator (TOR) vs retropubic (RPR) route

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

• 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

Single‐incision slings vs autologous fascial slings

The review found no eligible studies for this question.

• Single‐incision sling operations for urinary incontinence in women 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Single‐incision slings vs retropubic minimally‐invasive slings

It is very uncertain whether single‐incision slings changes number of women requiring repeat continence surgery or mesh revision compared with retropubic minimally‐invasive slings (very low certainty).

• Single‐incision sling operations for urinary incontinence in women 2023 · Cochrane Headline outcomes only
  RR 4.19 [0.31, 57.28]
  2 studies · 182 participants
  Very low