Cochrane · systematic review · CD009407

Interventions for treating recurrent stress urinary incontinence after failed minimally invasive synthetic midurethral tape surgery in women

Bakali, E, Johnson, E, Buckley, BS, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
0
No studies
15
Included studies
NR
No studies 15 · 83.3%Ungraded 3 · 16.7%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

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.

Questions and results

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

Population: women with recurrent stress urinary incontinence after failed minimally invasive midurethral tape surgery
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of women whose incontinence was improved or cured ‐
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies
Objective cure rates in the longer‐term ‐ more than 12 months,
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies
General health status measures ‐ e.g. Short‐Form 36
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies
Repeat continence surgery
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies
Adverse events
Repeat midurethral tape (any type) vs any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
no estimate extractedNRNo studies

One type of repeat midurethral tape versus another type of repeat midurethral tape

Population: women with recurrent stress urinary incontinence after failed minimally invasive midurethral tape surgery
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of women whose incontinence was improved or cured ‐
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extracted46 participantsUngraded
Objective cure rates in the longer‐term ‐ more than 12 months,
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extractedNRNo studies
General health status measures ‐ e.g. Short‐Form 36
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extractedNRNo studies
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extracted46 participantsUngraded
Repeat continence surgery
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extractedNRNo studies
Adverse events
One type of repeat midurethral tape vs another type of repeat midurethral tape
no estimate extracted46 participantsUngraded

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

Population: women with recurrent stress urinary incontinence after failed minimally invasive midurethral tape surgery
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of women whose incontinence was improved or cured ‐
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies
Objective cure rates in the longer‐term ‐ more than 12 months,
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies
General health status measures ‐ e.g. Short‐Form 36
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies
Repeat continence surgery
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies
Adverse events
Surgery with excision of failed tape vs surgery without excision of tape
no estimate extractedNRNo studies