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. 2017 Jul 31;2017(7):CD006375. doi: 10.1002/14651858.CD006375.pub4

Jakimiuk 2012.

Methods RCT comparing TVT and TVT‐O: POLTOS study
Participants Multicentre RCT in Poland
35 women
Inclusion criteria: women with urodynamically proven (bladder filled to a minimum of 300 ml) SUI; no prior incontinence surgery
Exclusion criteria: women with UTI; BMI > 33 kg/m²; previous hysterectomy; neurological incontinence; POP; PVR > 150 ml; OAB and MUI
Age: 40‐80 years
Interventions Group A: TVT (n = 19)
Group B: TVT‐O (n = 16)
Outcomes
  • Subjective cure: self‐reported

  • Objective cure: negative cough test and pad test

  • Bladder perforation

  • Voiding dysfunction

  • Vascular injury

  • Mean procedure time

  • Mean hospital stay

  • QoL: used non‐validated KHQ and validated SF‐36 questionnaires.

Notes Follow‐up at 6 months
Cystoscopy was performed in both groups
Lost to follow‐up: Group A: 4/19; Group B: 0/16 (3 participants with bladder perforation had the tape removed and were excluded)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: “The randomisation was done through a web page secured with a 128‐bit code”
Allocation concealment (selection bias) Unclear risk No information
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: “every patient had extra skin incisions for masking the type of procedure (“sham operation”). Each patient had 4 skin incisions in localization typical for needle introduced in TVT and TVT‐O procedure”
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Information not clear