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. 2017 Jul 25;2017(7):CD002912. doi: 10.1002/14651858.CD002912.pub7

Comparison 4. Open retropubic colposuspension versus anterior colporrhapy.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Number with incontinence within first year (subjective) 6   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Urodynamic diagnosis 6 576 Risk Ratio (M‐H, Fixed, 95% CI) 0.46 [0.30, 0.72]
1.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Number with incontinence after first year but before five years (subjective) 7   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Urodynamic diagnosis 7 628 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.27, 0.51]
2.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Number with incontinence after five years (subjective) 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Urodynamic diagnosis 3 174 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.32, 0.75]
3.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Number with incontinence within the first year (objective) 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Urodynamic diagnosis 4 428 Risk Ratio (M‐H, Fixed, 95% CI) 0.36 [0.22, 0.58]
4.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Number with incontinence after first and before five years (objective) 6 505 Risk Ratio (M‐H, Fixed, 95% CI) 0.34 [0.25, 0.47]
5.1 Urodynamic diagnosis 6 505 Risk Ratio (M‐H, Fixed, 95% CI) 0.34 [0.25, 0.47]
5.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Number with incontinence at and after five years (objective) 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 Urodynamic diagnosis 3 174 Risk Ratio (M‐H, Fixed, 95% CI) 0.48 [0.31, 0.73]
6.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Volume/weight of urine loss in 2 hour pad test 1 45 Mean Difference (IV, Fixed, 95% CI) 1.10 [‐4.41, 6.61]
7.1 Urodynamic diagnosis 1 45 Mean Difference (IV, Fixed, 95% CI) 1.10 [‐4.41, 6.61]
7.2 Symptom diagnosis 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Condition specific health measure 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
8.1 Urodynamic diagnosis 1 35 Mean Difference (IV, Fixed, 95% CI) ‐0.59 [‐1.11, ‐0.07]
8.2 Symptom diagnosis 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Operative time (minutes) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.1 Urodynamic diagnosis 1 51 Mean Difference (IV, Fixed, 95% CI) 14.4 [5.43, 23.37]
9.2 Symptom diagnosis 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Length of hospital stay (days) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
10.1 Urodynamic diagnosis 2 113 Mean Difference (IV, Random, 95% CI) ‐1.53 [‐4.45, 1.39]
10.2 Symptom diagnosis 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
11 Time to catheter removal (days) 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
11.1 Urodynamic diagnosis 3 324 Mean Difference (IV, Fixed, 95% CI) ‐0.28 [‐0.83, 0.27]
11.2 Symptom diagnosis 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
12 Number of perioperative surgical complications 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
12.1 Urodynamic diagnosis 2 96 Risk Ratio (M‐H, Fixed, 95% CI) 0.39 [0.19, 0.83]
12.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
13 Number with de novo urge symptoms and urge incontinence 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
13.1 Urodynamic diagnosis 3 241 Risk Ratio (M‐H, Fixed, 95% CI) 0.53 [0.25, 1.14]
13.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
14 Number with de novo detrusor instability 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
14.1 Urodynamic diagnosis 4 306 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [0.54, 2.94]
14.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
15 Number with voiding difficulty 4   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
15.1 Urodynamic diagnosis 4   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
15.2 Symptom diagnosis 0   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
16 Number with new or recurrent prolapse 5   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
16.1 Urodynamic diagnosis 5 447 Risk Ratio (M‐H, Random, 95% CI) 2.51 [0.62, 10.10]
16.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
17 Number with repeat anti‐incontinence surgery 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
17.1 Urodynamic diagnosis 3 271 Risk Ratio (M‐H, Fixed, 95% CI) 0.11 [0.04, 0.30]
17.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
18 Number with other complication inherent to procedure 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
18.1 Urodynamic diagnosis 2 119 Risk Ratio (M‐H, Fixed, 95% CI) 4.78 [0.58, 39.54]
18.2 Symptom diagnosis 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
19 Number not cured within first year (subjective) Burch vs MMK 6   Odds Ratio (M‐H, Fixed, 95% CI) Subtotals only
19.1 Burch trials 4 427 Odds Ratio (M‐H, Fixed, 95% CI) 0.47 [0.26, 0.85]
19.2 MMK trials 2 146 Odds Ratio (M‐H, Fixed, 95% CI) 0.58 [0.25, 1.36]
20 Number not cured after first year but before five years (subjective) Burch vs MMK 2 146 Odds Ratio (M‐H, Fixed, 95% CI) 0.77 [0.38, 1.55]
20.1 MMK 2 146 Odds Ratio (M‐H, Fixed, 95% CI) 0.77 [0.38, 1.55]