Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis

Introduction:The current body of evidence is limited regarding the long-term outcomes of different modalities for stress urinary incontinence (SUI). We conducted this systematic review and network meta-analysis to compare the long-term follow-up outcomes of mid-urethral slings (MUS), Burch colpo-sus...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Doaa Effat, Mona Alkafrawy, Hanaa Ahmed, Amany Soliman
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	stress urinary incontinence mid-urethral slings burch colpo-suspension laser therapy meta-analysis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/881e39d021e746609d1bfd01fa3c44e2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:881e39d021e746609d1bfd01fa3c44e2
record_format	dspace
spelling	oai:doaj.org-article:881e39d021e746609d1bfd01fa3c44e22021-12-02T17:05:59ZFive-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis2636-41742682-378010.21608/ijma.2021.79651.1323https://doaj.org/article/881e39d021e746609d1bfd01fa3c44e22021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_180020_6040c5c9961d324a3083a9de572449ee.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Introduction:The current body of evidence is limited regarding the long-term outcomes of different modalities for stress urinary incontinence (SUI). We conducted this systematic review and network meta-analysis to compare the long-term follow-up outcomes of mid-urethral slings (MUS), Burch colpo-suspension, pubo-vaginal sling (PVS), anterior colporrhaphy with Kelly’s plication, and laser therapy in the treatment of SUIMethods: In this systematic review and network meta-analysis, we included prospective and retrospective studies that assessed the long-term outcomes of modalities for the management of SUI. We performed an online, bibliographic, search in four bibliographic databases: Cochrane Central Register of Controlled Trials (CENTRAL), Medline via PubMed, Web of Science, and Scopus.Results: A total of 42 studies were included. For the subjective cure rate, five different interventions were compared; pooling direct and indirect comparisons revealed an advantage of tension-free vaginal tape (TVT) intervention over TVT-obturator (TVT-O), laparoscopic Burch colpo-suspension, trans-obturator tape (TOT), and TVT-sling (TVT-S). Concerning objective cure rate, the pooling direct and indirect comparisons showed an obvious advantage of TOT, followed by TVT, and then TVT-O, Burch lap, and TVT-S. For repeated surgery, four different interventions were compared, and the comparisons revealed an advantage of TVT intervention over TVT-O, PVS, and TOT. The comparisons revealed the advantage of TVT and TVT-O over other procedures for lower urinary symptoms and postoperative complications.Conclusion: In conclusion, MUS appears to be the most effective and safe procedure for SUI at long-term follow-up. However, these findings should be interpreted with caution as there is scarcity in the published reports assessing long-term outcomes of other modalities, especially PVS and laser therapy.Doaa EffatMona AlkafrawyHanaa AhmedAmany SolimanAl-Azhar University, Faculty of Medicine (Damietta)articlestress urinary incontinencemid-urethral slingsburch colpo-suspensionlaser therapymeta-analysisMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1530-1549 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stress urinary incontinence mid-urethral slings burch colpo-suspension laser therapy meta-analysis Medicine (General) R5-920
spellingShingle	stress urinary incontinence mid-urethral slings burch colpo-suspension laser therapy meta-analysis Medicine (General) R5-920 Doaa Effat Mona Alkafrawy Hanaa Ahmed Amany Soliman Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
description	Introduction:The current body of evidence is limited regarding the long-term outcomes of different modalities for stress urinary incontinence (SUI). We conducted this systematic review and network meta-analysis to compare the long-term follow-up outcomes of mid-urethral slings (MUS), Burch colpo-suspension, pubo-vaginal sling (PVS), anterior colporrhaphy with Kelly’s plication, and laser therapy in the treatment of SUIMethods: In this systematic review and network meta-analysis, we included prospective and retrospective studies that assessed the long-term outcomes of modalities for the management of SUI. We performed an online, bibliographic, search in four bibliographic databases: Cochrane Central Register of Controlled Trials (CENTRAL), Medline via PubMed, Web of Science, and Scopus.Results: A total of 42 studies were included. For the subjective cure rate, five different interventions were compared; pooling direct and indirect comparisons revealed an advantage of tension-free vaginal tape (TVT) intervention over TVT-obturator (TVT-O), laparoscopic Burch colpo-suspension, trans-obturator tape (TOT), and TVT-sling (TVT-S). Concerning objective cure rate, the pooling direct and indirect comparisons showed an obvious advantage of TOT, followed by TVT, and then TVT-O, Burch lap, and TVT-S. For repeated surgery, four different interventions were compared, and the comparisons revealed an advantage of TVT intervention over TVT-O, PVS, and TOT. The comparisons revealed the advantage of TVT and TVT-O over other procedures for lower urinary symptoms and postoperative complications.Conclusion: In conclusion, MUS appears to be the most effective and safe procedure for SUI at long-term follow-up. However, these findings should be interpreted with caution as there is scarcity in the published reports assessing long-term outcomes of other modalities, especially PVS and laser therapy.
format	article
author	Doaa Effat Mona Alkafrawy Hanaa Ahmed Amany Soliman
author_facet	Doaa Effat Mona Alkafrawy Hanaa Ahmed Amany Soliman
author_sort	Doaa Effat
title	Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
title_short	Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
title_full	Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
title_fullStr	Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
title_full_unstemmed	Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis
title_sort	five-years outcomes of different procedures for the treatment of female stress urinary incontinence: a systematic review and network meta-analysis
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/881e39d021e746609d1bfd01fa3c44e2
work_keys_str_mv	AT doaaeffat fiveyearsoutcomesofdifferentproceduresforthetreatmentoffemalestressurinaryincontinenceasystematicreviewandnetworkmetaanalysis AT monaalkafrawy fiveyearsoutcomesofdifferentproceduresforthetreatmentoffemalestressurinaryincontinenceasystematicreviewandnetworkmetaanalysis AT hanaaahmed fiveyearsoutcomesofdifferentproceduresforthetreatmentoffemalestressurinaryincontinenceasystematicreviewandnetworkmetaanalysis AT amanysoliman fiveyearsoutcomesofdifferentproceduresforthetreatmentoffemalestressurinaryincontinenceasystematicreviewandnetworkmetaanalysis
_version_	1718381800873525248

Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis

Ejemplares similares