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. 2017 Jul 27;2017(7):CD002239. doi: 10.1002/14651858.CD002239.pub3
Methods 3‐armed RCT comparing laparoscopic colposuspension using sutures, laparoscopic colposuspension using mesh with open colposuspension using sutures. power calculation, set in Sweden, 4 hospitals. Follow‐up 1 year.
Participants 211 women randomised. All women referred with USI as their main symptom. Patient characteristics similar in each group
Interventions Group 1 (n = 79): open colposuspension
Group 2 (n = 53): laparoscopic colposuspension using sutures
Group 3 (n = 79): laparoscopic colposuspension using mesh
Outcomes Subjective cure and objective cure ( < 8 g/24 h on a 48‐h pad test, and leakage on a frequency/volume chart). VAS used to assess subjective improvement and QoL. Duration of surgery, blood loss, duration of catheter drainage, duration of hospital stay, complications (bladder perforation haematoma leading to re‐operation, UTI within 1 month, wound infection and urinary retention > 5 days)
Notes Withdrawls before surgery: group 1 (n = 16); group 2 (n = 4); group 3 (n = 4) due to failure to meet all inclusion criteria or regret decision after randomisation
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate