EURURO Vol. 72 No. 4

erosions, storage and voiding LUTS, and reoperation rates

(Supplementary Fig. 1).

3.4.

RCTs comparing different transobturator midurethral

tapes

Supplementary Tables 5 and 6 summarise continence,

complication, and reoperation rates of the RCTs comparing

different TO-TVT tapes as the treatment for primary SUI.

Figure 5

shows the forest plots concerning the meta-

analyses of continence, complication, and reoperation

rates.

No significant differences in efficacy were identified

comparing inside-to-out and outside-to-in TO-TVT. Regard-

ing complications, vaginal perforations were less common

with the inside-to-out TO-TVT (2.6% vs 11.8%, respectively,

OR: 0.21,

= 0.0002). Moreover, there was also a non-

statistically significant trend for vaginal erosions in favour

[(Fig._3)TD$FIG]

Fig. 3 – Forest plots of comparisons after midurethral tapes and pubovaginal sling: (A) continence rate according to any definition of continence,

(B) subjective continence rate, (C) pelvic haematoma, (D) vaginal erosions, (E) storage lower urinary tract symptoms (LUTS), (F) voiding lower urinary

tract symptoms, (G) reoperation rate.

CI = confidence interval; df = difference; OR = odds ratio; SUI = stress urinary incontinence.

E U R O P E A N U R O L O G Y 7 2 ( 2 0 1 7 ) 5 6 7 – 5 9 1

572