Findings

What do systematic reviews say?

9 questions · 10 findings · 1 reviews

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No studies found 0 · 0%GRADE not reported 5 · 50%Very low 0 · 0%Low 1 · 10%Moderate 4 · 40%High 0 · 0%

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

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 1.1 [1.01, 1.2]
3 studies · 492 participants
Moderate

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

Subjective cure (medium term, 1 to 5 years) · 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
0 studies · 0 participants
GRADE not reported

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

Subjective cure · 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
0 studies · 0 participants
GRADE not reported

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

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.55 [0.31, 0.98]
5 studies · 631 participants
Moderate

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

Voiding dysfunction · women with stress urinary incontinence

Retropubic bottom‐to‐top approach probably leads to lower voiding dysfunction compared with retropubic top‐to‐bottom approach (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.4 [0.18, 0.9]
5 studies · 631 participants
Moderate

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

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.84 [0.52, 1.34]
4 studies · 547 participants
Low

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

Vaginal tape erosion · women with stress urinary incontinence

Retropubic bottom‐to‐top approach probably leads to lower vaginal tape erosion compared with retropubic top‐to‐bottom approach (moderate certainty).

1 finding from 1 review

Mid‐urethral sling operations for stress urinary incontinence in women 2017 · Cochrane Headline outcomes only
RR 0.27 [0.08, 0.95]
4 studies · 569 participants
Moderate

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

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

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

Quality of life (IIQ scores) · 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
1 study · 84 participants
GRADE not reported