Summary of findings 2. One type of repeat midurethral tape versus another type of repeat midurethral tape.
One type of repeat midurethral tape compared with another type of repeat midurethral tape 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: one type of repeat midurethral tape Comparison: another type of repeat midurethral tape | ||||||
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 another type of repeat midurethral tape | Risk with one type of repeat midurethral tape | |||||
Number of women whose incontinence was improved or cured ‐ assessed with validated incontinence questionnaires | ‐ | ‐ | ‐ | 46 (1 secondary analysis of RCT) | ‐ | One secondary analysis of an RCT for relevant population identified; no usable data |
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 | ‐ | ‐ | ‐ | ‐ | ‐ | ‐ |
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS | ‐ | ‐ | ‐ | 46 (1 secondary analysis of RCT) | ‐ | One secondary analysis of an RCT for relevant population identified; no usable data |
Repeat continence surgery | ‐ | ‐ | ‐ | ‐ | ‐ | No studies identified |
Adverse events | ‐ | ‐ | ‐ | 46 (1 secondary analysis of RCT) | ‐ | One secondary analysis of an RCT for relevant population identified, which reported on adverse events narratively within the text. However, there was no usable data |
*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; RCT: randomised controlled trial; 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. |