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

Berglund 1996.

Methods RCT. Method not described. Two arms
 Blinding not mentioned
 Not mentioned if ITT analysis
 No power calculation
 Follow‐up 1 year
Participants N = 45. No withdrawals mentioned
Diagnosis by symptoms alone
 All primary UI. Unclear if mixed UI included
Mean age: 50 years (SD6.6); parity: 2.6; 44% menopausal
No baseline comparison of groups
Incl: not listed
 Excl: age > 65, previous anti‐incontinence surgery, other gynaecological disease needing surgery, severe medical disease
Single centre, university‐based, Dept of Gyne
 Sweden
Interventions I: Retropubic urethropexy (30)
 II: Pubococcygeal repair (15)
Description of techniques referenced : Based on these, the reviewers assessed “Retropubic urethropexy” is also the Marshall‐Marchetti‐Krantz. And “Pubococcygeal repair” is also anterior colporrhaphy
Both groups had instructions for pelvic floor exercise from physiotherapist
Surgeon not specified
Outcomes Number cured at one year, subjective and objective
 Time to catheter removal
 Number with severe post‐op pain
 Urine loss by 2‐hour pad test
 Length of stay
 Number of post‐op complications
 Number with voiding difficulty
Obj Cure = no leak by pad test
 Subj Cure = no leak by history
 Catheter removed if residual urine < 100 ml
Notes Berglund paper (primary reference) includes patients excluded in the Lalos 1993 paper
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk method of randomization not described
Allocation concealment (selection bias) Unclear risk not mentioned
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk not mentioned
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk not mentioned
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk no dropouts/withdrawals reported
Other bias Unclear risk no other bias identified