Methods | RCT by random number table. Follow‐up at 3 months and at 72.6 months (mean) | |
Participants | 36 women with genuine stress incontinence and a maximum urethral closure pressure ≤ 20 cm H2O. Groups comparable in terms of age, parity, and urodynamic variables, except for detrusor instability (> Burch vs sling) and residual volume (> Burch vs sling) | |
Interventions | A (17): Polytetrafluoroethylene sling operation B (19): modified (overcorrection) Burch colposuspension |
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Outcomes | Cure defined as objective (urodynamic) and subjective (history) Objective cure (long‐term): A: 100% 13/13, B: 86% 13/15 Subjective cure (long‐term): A: 84% 11/13, B: 93% 14/15 There were no statistically significant differences in outcome measures |
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Notes | The first publication (2000) reported the short‐term follow‐up and was considered the primary reference. The last publication (2003) reported the long‐term results | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Random number table |
Allocation concealment (selection bias) | Unclear risk | Not mentioned |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not mentioned |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Similar losses in both groups at long‐term assessment |