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

Park 2012.

Methods Pseudo RCT of TVT‐O vs TOT (Monarc)
Participants 74 women
Inclusion criteria: women with SUI including those with MUI
Exclusion criteria: neurogenic bladder; POP; suspected ISD; or a past history of radical pelvic surgery
Mean age (years): Group A: 54.4 (10.13); Group B: 55.1 (10.63)
Mean BMI kg/m²: Group A: 28.9 (0.53); Group B: 25.9 (0.48)
Urgency/UUI: Group A: 25/39; Group B: 22/35
Interventions Group A: TVT‐O (n = 39)
Group B: TOT Monarc (n = 35)
Outcomes Cure was defined as the absence of any episodes of involuntary urine leakage during stressful activities and a stress test. Improvement was defined as a significant reduction in urine leakage, such that it did not require further treatment
  • Objective cure at 12 months and 3 years

  • Subjective cure at 12 months and 3 years

  • Subjective cure & improvement at 1yr and 3 years

  • Voiding dysfunction

  • Bladder and urethral perforation

  • Groin pain

  • Post operative dyspareunia

Notes Cystoscopy was performed in all women
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: “were included in this randomised, prospective, observational study”
Allocation concealment (selection bias) High risk Quote: "The procedure was performed by a single surgeon, and patients underwent one of the two techniques in accordance with the scheduling order (MONARC and TVT‐O), in alternation"
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No information
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All accounted for