| 16 December 2009 |
New search has been performed |
Minor update. This updated review includes the long term (4 to 8 years) follow‐up results of a previously included trial, comparing laparoscopic colposuspension and TVT. Overall four studies were identified from the search. Two trials were excluded due to not being randomised and a further study, which was in abstract form, had already been included in the previous updated review in 2007. So only one study has been added in this update. This is the long term (4 to 8 years) follow‐up results of a previously included trial, comparing laparoscopic colposuspension and TVT. Overall the conclusions of the review remain the same, with now emerging evidence that laparoscopic colposuspension has similar long‐term subjective cure rates as TVT. |
| 31 October 2007 |
New citation required and conclusions have changed |
Substantive amendment This update of the review (Jan 2008) includes additional results from a three‐armed trial comparing two techniques of laparoscopic colposuspension with open colposuspension. Many of the trials in the previously updated review were in abstract form only and now have been published in full and on one occassion the authorship has changed. One trial has also published additional outcomes of cost effectiveness. The overall conclusions of the review remain unchanged for the comparisons of laparoscopic colposuspension with open and newer sling techniques. However, the addition of the three armed trial has lead to both subjective and objective outcomes favouring the use of sutures rather than mesh for the laparoscopic colposuspension procedures. |
| 24 May 2006 |
New citation required and conclusions have changed |
The last major update of the review (Jan 2006) included the following: The authorship has changed. Nicola Dean and Peter Herbison have been added to the authors, in place of Birgit Moehrer and Marcus Carey. The review includes the results of thirteen extra trials. Four trials compared laparoscopic colposuspension with open colposuspension, involving longer‐term follow‐up data and additional outcomes, such as health economic costs and quality of life scores. Eight trials have been included comparing laparoscopic colposuspension with 'self‐fixing' vaginal sling procedures, reporting short‐term outcomes and allowing for analysis. There is one additional trial comparing techniques of laparoscopic colposupension. The overall conclusion that laparoscopic colposuspension appears, in the short‐term, to have similar subjective and poorer objective cure rates to open colposuspension remains. However, 'self fixing' sling procedures appear to have similar, if not, better cure rates than laparoscopic colposuspension and offer greater benefits of minimal access surgery: shorter operation time, shorter hospital stay, and quicker return to normal activities. |
| 15 January 2002 |
New search has been performed |
update |