| Methods | RCT comparing transperitoneal laparoscopic colposuspension using mesh (polypropylene mesh and tacks or staples) with laparoscopic colposuspension using sutures (0‐Ethibond sutures). Power calculation. F/U at 3, 6, 12 months | |
| Participants | 60 women with either mild or moderate stress incontinence were enrolled. Excluded: previous gynae. or incontinent surgery, BMI > 30, prolapse ≥ 2nd degree, previous severe abdopelvic infection, severe stress incontinence (loss of urine on minimal activity) |
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| Interventions | Group 1 (n = 30): transperitoneal laparoscopic colposuspension with sutures, 1‐2 each side Group 2 (n = 30): transperitoneal laparoscopic colposuspension using mesh and tacks or staples. All similar with regard to baseline characteristics | |
| Outcomes | Intra and postoperative complications were recorded, operating time, blood loss, catheterisation time, resumption to spontaneous voiding, hospital stay. Objective measurement was involuntary loss of urine during cough and Valsalva manoeuvre in standing position with the bladder filled to max. cystometric capacity. VAS used to assess subjective cure | |
| Notes | Researcher assessing objective outcome was blinded to the type of laparoscopy. A total of 7 withdrew from the study (group 1 n = 27 and group 2 n = 26) | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Allocation concealment (selection bias) | Low risk | A ‐ Adequate |
Key for abbreviations: CMG: cystometrogram; DO = detrusor overactivity; EBL: estimated blood loss; F/U = follow‐up; GA = general anaesthetic; GSI: genuine stress incontinence; IIQ: Incontinence Impact Questionnaire; ITT: intention‐to‐treat; KHQ: King's Health Questionnaire; LA = local anaesthetic; LC = laparoscopic colposuspension; MUCP: maximum urethral closure pressure; POP‐Q: Pelvic Organ Prolapse Quantification System; QoL = quality of life; RCT = randomised controlled trial; SIIQ: Short Incontinence Impact Questionnaire; SUDI: Short Urinary Distress Inventory; TVT = tension‐free vaginal tape; UDI: Urogenital Distress Inventory; US: ultrasound; USI = urodynamic stress incontinence; UTI = urinary tract infection; VAS = visual analogue score;