The effectiveness of surgery for stress incontinence in women: a systematic review

British Journal of Urology
N A Black, S H Downs

Abstract

To determine the methodological quality of studies evaluating surgery for stress incontinence, the effectiveness of different procedures and the frequency of complications associated with each procedure. Eleven randomized controlled trials, 20 non-randomized trials/prospective cohort studies and 45 retrospective cohort studies were reviewed systematically. The methodological quality of the 31 prospective studies was generally poor. The considerable variation in inclusion criteria, surgical management and assessment of outcome precluded any statistical meta-analysis. Evidence as to the effectiveness of surgery for stress incontinence is weak; therefore, any conclusions are speculative. It appears that colposuspension may be more effective and the effect more long-lasting than that following anterior colporrhaphy and needle suspension. There is little information on the value of sling procedures. Comparisons of different ways of performing each procedure show no significant differences in outcome but this may reflect the methodological weaknesses of the studies. Valid and reliable data on the frequency of complications following surgery are lacking so the safety of the procedures is unclear. Repeat operations to correct stress in...Continue Reading

Citations

Dec 16, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·S A Farrell
Jul 14, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·A M WeberA C Weidner
Sep 28, 2004·Der Urologe. Ausg. A·S Schumacher, S C Müller
Sep 28, 2004·International Urogynecology Journal and Pelvic Floor Dysfunction·Hikaru TomoeUNKNOWN Tension-free Vaginal Tape Trial Group
Apr 1, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Franz MoserKarl Tamussino
Dec 2, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·SooCheen NgGin-Den Chen
Sep 18, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Abdalla M FayyadSimon R Hill
Jan 7, 2010·International Urogynecology Journal·Peter A CastilloG Willy Davila
Aug 30, 2012·International Urogynecology Journal·Candace Y Parker-AutryHolly E Richter
Jan 17, 2009·Archives of Gynecology and Obstetrics·Ali AyhanM Coskun Salman
Dec 1, 2006·International Urology and Nephrology·Hatzimouratidis KonstantinosHatzichristou Dimitrios
Nov 21, 2000·Obstetrics and Gynecology·A M Weber, M D Walters
Apr 12, 2003·Obstetrics and Gynecology·L Elaine WaetjenJeanette S Brown
May 10, 2003·Obstetrics and Gynecology·Mickey M KarramSteven D Kleeman
Oct 11, 2003·Urology·James Balmforth, Linda D Cardozo
May 1, 1999·Urology·D S BlanderE S Rovner
Jul 6, 2000·Lancet·J Bidmead, L Cardozo
May 16, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·L BombierS R Shaw
Oct 31, 2002·Nederlands tijdschrift voor tandheelkunde·P Bol
Sep 2, 1998·British Journal of Urology·L C BerghmansE S van Waalwijk van Doorn
Dec 5, 1998·British Journal of Urology·A HutchingsN A Black
Jan 12, 1999·British Journal of Urology·J Bidmead, L D Cardozo
Sep 21, 2013·The New England Journal of Medicine·Julien LabrieCarl H van der Vaart
Sep 2, 2008·Obstetrics and Gynecology·Holly E RichterPeggy A Norton
Nov 4, 1998·British Journal of Obstetrics and Gynaecology·M Jóźwik, M Jóźwik
Jul 1, 1998·British Journal of Obstetrics and Gynaecology·N A BlackP D Abel
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·L CardozoK Boos
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·U UlmstenM Rezapour
Jul 13, 2002·BMJ : British Medical Journal·Karen WardUNKNOWN United Kingdom and Ireland Tension-free Vaginal Tape Trial Group
Sep 6, 2005·BMJ : British Medical Journal·Robert D Herbert, Kari Bø
Oct 24, 2007·AJR. American Journal of Roentgenology·Rania Farouk el-SayedMohamed S Abdel-Azim
Dec 10, 2009·World Journal of Gastroenterology : WJG·Jian-Zhu FuZe-Li Yu
Mar 23, 2012·International Urogynecology Journal·Julien LabrieC Huub van der Vaart
May 23, 2007·The New England Journal of Medicine·Michael E AlboUNKNOWN Urinary Incontinence Treatment Network
Jan 31, 2013·Journal of Medical Engineering & Technology·Hongzhi SunHuikai Xie
Sep 24, 2004·Neurourology and Urodynamics·Christine SkalaVolker Viereck
Feb 3, 2007·Taiwanese Journal of Obstetrics & Gynecology·Mou-Jong SunGin-Den Chen

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