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. 2017 Jul 26;2017(7):CD001754. doi: 10.1002/14651858.CD001754.pub4
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
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
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