Systematic review and meta-analysis of "inside-out" versus "outside-in" transobturator tapes in management of stress urinary incontinence in women

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Priya MadhuvrataMohamed Abdel-Fattah

Abstract

To directly compare the current evidence for the efficacy, complications, quality of life and cost to health services of both transobturator tension free vaginal tape procedures - "inside-out" versus "outside-in" - in the surgical treatment of female stress urinary incontinence. A prospective peer-reviewed protocol was prepared a priori, and a systematic search of relevant databases from 1966 to January 2011 was performed. Meta-analyses of five randomised trials and three cohort studies were performed separately in accordance with PRISMA and MOOSE, respectively. There was no significant difference in patient-reported cure/improvement (OR 1.25, 95%CI 0.78, 1.99; p=0.35) nor in objective cure/improvement (OR 1.66, 95%CI 0.8, 3.43, p=0.17) between the two groups at 12-month follow-up. Vaginal angle injuries were significantly higher with the outside-in route (OR 0.14, 95%CI 0.05, 0.41, p=0.0003). Groin/thigh pain and de-novo urgency were non-significantly higher with the inside-out route (OR 1.42, 95%CI 0.94, 2.13, p=0.10 and OR 1.46, 95%CI 0.63, 3.36, p=0.38, respectively). There was no significant difference in postoperative quality of life scores between the two groups (WMD -1.65; 95% CI -5.76, 2.46, p=0.43). None of the trials...Continue Reading

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Citations

Jul 4, 2012·International Urogynecology Journal·Jonathan Duckett, Andrew Baranowski
Jun 19, 2013·Current Urology Reports·Paholo G Barboglio, E Ann Gormley
Mar 8, 2014·Women's Health·Dudley Robinson, Linda Cardozowan
Sep 19, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Franca NataleEmilio Piccione
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May 17, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Rachel Yau Kar CheungTony Kwok Hung Chung
Jan 3, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·J M van der PloegJ P Roovers
Jan 18, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·D KarmakarM Abdel-Fattah
Jan 16, 2015·Urologia·Francesco MarsonBruno Frea
Jun 1, 2013·Arab Journal of Urology·Paholo G Barboglio, E Ann Gormley

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