574 656
Table 1 – Comparisons after retropubic and transobturator tapes. Meta-analysis of all the randomised controlled trials (RCTs) and sensitivity
analyses for high quality RCTs
Retropubic versus
transobturator tapes
All RCTs
High quality RCTs
Continence rate
RCT Participants OR 95% CI
of OR
p
value Difference in
favor of
RCT Participants OR 95% CI
of OR
p
value Difference in
favour of
Any definition of continence 9
1374 1.16 0.89–1.51 0.27
None
3
355 0.96 0.42–2.17 0.92
None
Objective continence rate
31
4796 0.82 0.70–0.96 0.02
RP-TVT
16
3079 0.76 0.63–0.92 0.006
RP-TVT
Subjective continence rate 22
3247 0.83 0.70–0.98 0.03
RP-TVT
14
2361 0.85 0.7–1.03 0.77
None
Adverse events
RCT Participants OR 95% CI
of OR
p
value Difference in
favour of
RCT Participants OR 95% CI
of OR
p
value Difference in
favour of
Bladder/vaginal perforation 36
6335 2.5 1.87–3.36
<
0.0001 TO-TVT 15
2993 2.41 1.56–3.71 0.002
TO-TVT
Hematoma
23
3619 2.61 1.41–4.82 0.002
TO-TVT
6
999 2.62 0.81–8.46 0.11
None
Vaginal erosion
28
4367 0.65 0.45–0.95 0.03
RP-TVT
13
1405 0.56 0.32–0.96 0.03
RP-TVT
Urinary tract infection
16
3149 1.31 1.02–1.68 0.04
TO-TVT
6
1302 1.28 0.93–1.78 0.13
None
Storage LUTS
31 52341 1.07 0.9–1.28 0.44
None
12
2531 1.07 0.76–1.5 0.70
None
Voiding LUTS
15
2429 1.66 1.2–2.3 0.002
TO-TVT
8
1038 1.59 0.85–2.97 0.15
None
CIC/recatheterisation
24
4749 1.14 0.87–1.48 0.34
None
13
1510 1.33 0.81– 2.18 0.27
None
Reoperation rate
18
3126 1.13 0.65–1.95 0.66
None
8
778 1.33 0.46–3.87 0.6
None
CI = confidence interval; CIC = clean intermittent self-catheterisation; LUTS = lower urinary tract symptoms; OR = odds ratio; RP-TVT = retropubic tension-free
vaginal tapes; TO-TVT = transobturator tension-free vaginal tapes.
[(Fig._4)TD$FIG]
Fig. 4 – Forest plots of comparisons after retropubic tape and transobturator tape. (A) Continence rate according to any definition of cure, (B) objective
continence rate, (C) subjective continence rate (nonvalidated questionnaire), (D) bladder or vaginal perforation, (e) haematoma, (F) vaginal erosion, (G)
urinary tract infection, (H) storage lower urinary tract symptoms (LUTS), (I) voiding LUTS, (J) need of clean intermittent catheterisation or
recatheterisation, (K) reoperation rate.
CI = confidence interval; CIC = clean intermittent catheterization; OR = odds ratio; SD = standard deviation; SUI = stress urinary incontinence;
TVT = tension-free vaginal tapes.
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
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