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

Rechberger 2011.

Methods RCT of standard TOT vs TOT with 2‐point tape fixation sutures to prevent tape displacement
Participants 463 women
Inclusion criteria: women with urodynamically proven SUI, Including women with ISD
Exclusion criteria: OAB, MUI
Mean age (years; SD): Group A: 55.8 (11.3); Group B: 54.8 (9.8)
Mean BMI kg/m² (SD): Group A: 28.9 (6.7); Group B: 28.2 (3.8)
ISD: Group A: 41/232; Group B: 42/231
Interventions Group A: TOT (n = 232)
Group B: TOT with fixation (n = 231)
Outcomes
  • Cured: self‐reported subjective cure plus negative pad test plus negative cough stress test

  • Improved: negative cough stress test, negative pad test, but occasional symptoms persisting

  • Subjective cure and improvement

  • Objective cure

  • Bladder perforation

  • ISD cohort: Objective cure

Notes Both tapes were monofilament
Lost to follow‐up: Group A: 19/232; Group B: 26/231
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Patients were randomly allocated to 2 groups"
Allocation concealment (selection bias) Unclear risk No information
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 Unclear risk No information