Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

1,050 questions in 42 reviews · Incontinence

current versions
No studies 391 · 37.2%Ungraded 82 · 7.8%Very low 199 · 19%Low 206 · 19.6%Moderate 150 · 14.3%High 22 · 2.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Awareness of prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.55 [0.21, 1.44]1 study · 257 participantsLow
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Surgery for recurrent prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.34 [0.52, 3.44]2 studies · 345 participantsModerate
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.99 [0.83, 1.19]2 studies · 367 participantsModerate
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Mesh exposure (1‐4 years) · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 7.05 [0.37, 135.2]1 study · 257 participantsVery low
Vaginal procedure vs sacral colpopexy (vault prolapse)
Surgery for recurrent prolapse · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 2.33 [1.34, 4.04]6 studies · 497 participantsModerate
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Painful intercourse ‐ De novo dyspareunia · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.86 [0.72, 4.83]2 studies · 203 participantsModerate
Vaginal hysteropexy vs sacral hysteropexy (uterine prolapse)
Pelvic Floor Distress inventory (PFDI‐20) · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted1 study · 209 participantsLow
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Awareness of prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1 [0.44, 2.24]2 studies · 365 participantsModerate
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Surgery for recurrent prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.32 [0.67, 2.6]3 studies · 443 participantsModerate
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.44 [0.79, 2.61]2 studies · 361 participantsLow
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
POP‐Q assessment Total Vaginal Length (TVL) · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted3 studies · 413 participantsLow
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Bladder function ‐ Stress incontinence · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
OR 0.51 [0.22, 1.17]1 study · 175 participantsLow
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Painful intercourse ‐ Dyspareunia · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.53 [0.13, 2.11]2 studies · 331 participantsLow
Vaginal hysterectomy vs vaginal hysteropexy (uterine prolapse)
Operating time (minutes) · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted2 studies · 382 participantsLow
Vaginal surgery with mesh vs without mesh
Awareness of prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.08 [0.35, 3.3]1 study · 54 participantsModerate
Vaginal procedure vs sacral colpopexy (vault prolapse)
Prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.87 [1.32, 2.65]5 studies · 422 participantsModerate
Vaginal surgery with mesh vs without mesh
Surgery for recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.57 [0.3, 1.06]5 studies · 450 participantsModerate
Vaginal surgery with mesh vs without mesh
Prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.36 [0.09, 1.4]3 studies · 269 participantsLow
Vaginal surgery with mesh vs without mesh
Bladder injury · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 3 [0.91, 9.89]4 studies · 445 participantsLow
Vaginal surgery with mesh vs without mesh
Mesh exposure · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 14.75 [4.64, 46.89]5 studies · 499 participantsLow
Vaginal surgery with mesh vs without mesh
Bladder function ‐ Stress incontinence · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.37 [0.97, 1.93]6 studies · 463 participantsModerate
Vaginal surgery with mesh vs without mesh
Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ) (lower score better function) · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted3 studies · 180 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Awareness of prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.88 [0.68, 1.15]1 study · 267 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Surgery for recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.86 [0.66, 5.28]1 study · 228 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Prolapse on examination ‐ Anterior compartment prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.14 [0.88, 1.48]3 studies · 588 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Prolapse on examination ‐ Apical compartment prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.8 [0.38, 1.67]3 studies · 587 participantsModerate
Vaginal procedure vs sacral colpopexy (vault prolapse)
Intraoperative Visceral injury · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.46 [0.13, 1.63]7 studies · 625 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Prolapse on examination ‐ Posterior compartment prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.36 [0.79, 2.32]3 studies · 588 participantsModerate
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Bladder function ‐ Stress urinary incontinence · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.6 [0.64, 3.98]1 study · 228 participantsLow
Vaginal uterosacral colpopexy vs alternative vaginal native tissue apical suspension
Painful intercourse ‐ Dyspareunia · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.19 [0.73, 1.95]1 study · 228 participantsLow
Absorbable vs non absorbable sutures
Awareness of prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.78 [0.39, 1.56]4 studies · 493 participantsModerate
Absorbable vs non absorbable sutures
Surgery for recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted2 studies · 222 participantsHigh
Absorbable vs non absorbable sutures
Prolapse on examination ‐ Any recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.82 [0.48, 1.4]3 studies · 417 participantsHigh
Absorbable vs non absorbable sutures
Visceral injury ‐ Bladder · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.43 [0.11, 1.65]3 studies · 545 participantsModerate
Absorbable vs non absorbable sutures
Suture/mesh exposure · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.25 [0.04, 1.6]5 studies · 688 participantsLow
Absorbable vs non absorbable sutures
Painful intercourse ‐ Dyspareunia · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.11 [0, 3.91]2 studies · 161 participantsLow
Sacral colpopexy: laparoscopic vs alternative approach
Awareness of prolapse: Laparoscopic versus open · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 2.06 [0.4, 10.54]2 studies · 193 participantsLow
Vaginal procedure vs sacral colpopexy (vault prolapse)
Bladder Function ‐ Stress incontinence · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.86 [1.17, 2.94]3 studies · 263 participantsModerate
Sacral colpopexy: laparoscopic vs alternative approach
Surgery for recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 0.77 [0.26, 2.31]3 studies · 208 participantsModerate
Sacral colpopexy: laparoscopic vs alternative approach
Prolapse on examination (Stage 2 or more): Any recurrent prolapse · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.29 [0.64, 2.56]3 studies · 225 participantsLow
Sacral colpopexy: laparoscopic vs alternative approach
Any complications (Clavien‐Dindo > 3) · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.26 [0.17, 9.44]2 studies · 193 participantsVery low
Sacral colpopexy: laparoscopic vs alternative approach
Operating time (minutes) · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted3 studies · 241 participantsVery low
Sacral colpopexy: laparoscopic vs alternative approach
Length of Hospital Stay (days) · women with apical vaginal prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted3 studies · 246 participantsLow
Vaginal procedure vs sacral colpopexy (vault prolapse)
Painful intercourse ‐ Dyspareunia · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 3.44 [0.61, 19.53]3 studies · 106 participantsLow
Vaginal procedure vs sacral colpopexy (vault prolapse)
Operating time (minutes) · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted6 studies · 517 participantsLow
Vaginal procedure vs sacral colpopexy (vault prolapse)
Cost (US dollars) · women with apical vaginal vault prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
no estimate extracted2 studies · 188 participantsLow
Vaginal hysterectomy vs sacral hysteropexy/cervicopexy (uterine prolapse)
Awareness of prolapse · women with apical uterine prolapse
Surgery for women with apical vaginal prolapse (2023) · Cochrane
RR 1.01 [0.1, 9.98]2 studies · 200 participantsVery low
Summary of findings table ‐ Bladder training vs no treatment
Participant‐reported cure or improvement: immediately after treatment · overactive bladder
Bladder training for treating overactive bladder in adults (2023) · Cochrane
RR 17 [1.13, 256.56]1 study · 18 participantsVery low
Summary of findings table ‐ Bladder training vs anticholinergics
Number of any adverse events: immediately after treatment · overactive bladder
Bladder training for treating overactive bladder in adults (2023) · Cochrane
RR 0.03 [0.01, 0.17]3 studies · 187 participantsVery low
Summary of findings table ‐ Bladder training vs anticholinergics
Participant‐reported satisfaction: immediately after treatment · overactive bladder
Bladder training for treating overactive bladder in adults (2023) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded