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. 2019 Sep 4;2019(9):CD009407. doi: 10.1002/14651858.CD009407.pub3

Summary of findings for the main comparison. Repeat midurethral tape (any type) versus any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables).

Repeat midurethral tape (any type) versus any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables) for recurrent stress urinary incontinence in women with failed minimally invasive midurethral tape surgery
Patient or population: women with recurrent stress urinary incontinence after failed minimally invasive midurethral tape surgery
Settings: secondary or tertiary urogynaecology centre
Intervention: repeat midurethral tape (any type)
Comparison: any other non‐tape surgical treatment (e.g. traditional sling, colposuspension, injectables)
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Risk with other non‐tape surgical treatment Risk with repeat midurethral sling
Number of women whose incontinence was improved or cured ‐ assessed with validated incontinence questionnaires No studies identified
Objective cure rates in the longer‐term ‐ more than 12 months, assessed with urodynamics No studies identified
General health status measures ‐ e.g. Short‐Form 36 No studies identified
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS No studies identified
Repeat continence surgery No studies identified
Adverse events No studies identified
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; BFLUTS: Bristol Female Lower Urinary Tract Symptoms questionnaire
GRADE Working Group grades of evidence
 High certainty: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate certainty: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low certainty: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low certainty: We are very uncertain about the estimate.