Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

157 questions · 162 findings · 15 reviews

No studies found 24 · 14.8%GRADE not reported 5 · 3.1%Very low 52 · 32.1%Low 58 · 35.8%Moderate 21 · 13%High 2 · 1.2%

Single‐incision slings vs retropubic minimally‐invasive slings

Number of women with mesh exposure, extrusion or erosion in any area · women with urinary incontinence

Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with retropubic minimally‐invasive slings (low certainty).

1 finding from 1 review

Single‐incision slings vs retropubic minimally‐invasive slings

Number of women requiring repeat continence surgery or mesh revision · women with urinary incontinence

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).

1 finding from 1 review

Single‐incision slings vs transobturator minimally‐invasive slings

Number of women with mesh exposure, extrusion or erosion in any area · women with urinary incontinence

Single‐incision slings leads to lower number of women with mesh exposure, extrusion or erosion in any area compared with transobturator minimally‐invasive slings (high certainty).

1 finding from 1 review

Single‐incision slings vs transobturator minimally‐invasive slings

Number of women requiring repeat continence surgery or mesh revision · women with urinary incontinence

Single‐incision slings showed no clear difference in number of women requiring repeat continence surgery or mesh revision compared with transobturator minimally‐invasive slings (low certainty).

1 finding from 1 review

Single‐incision slings vs autologous fascial slings

Number of women with mesh exposure, extrusion or erosion in any area · women with urinary incontinence

Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with autologous fascial slings (low certainty).

1 finding from 1 review

Prophylactic antibiotics vs placebo or no treatment

Mesh exposure · women with urinary stress incontinence undergoing continence surgery

It is very uncertain whether prophylactic antibiotics (single or combined drugs) changes number of mesh exposures within six weeks after the operation compared with placebo or no treatment (very low certainty).

1 finding from 1 review

Laparoscopic colposuspension vs midurethral sling procedures

Subjective cure within 18 months: laparoscopic colposuspension using mesh versus TVT · women with urinary incontinence

Laparoscopic colposuspension may leads to lower subjective cure within 18 months: laparoscopic colposuspension using… compared with midurethral sling procedures (low certainty).

1 finding from 1 review

Laparoscopic colposuspension vs open colposuspension

Subjective cure within 18 months: laparoscopic colposuspension using mesh and staples · women with urinary incontinence

It is very uncertain whether laparoscopic colposuspension changes subjective cure within 18 months: laparoscopic colposuspension using… compared with open colposuspension (very low certainty).

1 finding from 1 review

Laparoscopic colposuspension with sutures vs laparoscopic colposuspension with mesh and staples

Subjective cure · women with urinary incontinence

It is very uncertain whether laparoscopic colposuspension with sutures changes subjective cure within 18 months compared with laparoscopic colposuspension with mesh and staples (very low certainty).

1 finding from 1 review

Laparoscopic colposuspension with sutures vs laparoscopic colposuspension with mesh and staples

Repeat surgery for urinary incontinence · women with urinary incontinence

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

1 finding from 1 review

Laparoscopic colposuspension with sutures vs laparoscopic colposuspension with mesh and staples

Adverse effects: perioperative complications (number of events) · women with urinary incontinence

Laparoscopic colposuspension with sutures may leads to higher adverse effects: perioperative complications (number of events) compared with laparoscopic colposuspension with mesh and staples (low certainty).

1 finding from 1 review

Laparoscopic colposuspension with sutures vs laparoscopic colposuspension with mesh and staples

Adverse effects: de novo detrusor overactivity (urodynamic diagnosis) · women with urinary incontinence

Laparoscopic colposuspension with sutures showed no clear difference in adverse effects: de novo detrusor overactivity (urodynamic diagnosis) compared with laparoscopic colposuspension with mesh and staples (low certainty).

1 finding from 1 review