Authors' objectives:

To determine the effects of suburethral sling procedures for stress or mixed urinary incontinence compared to other treatment options.

Authors' recommendations: Preliminary results from a large trial supply evidence supporting the less invasive sling procedure with TVT. The causes of cure after the TVT were similar to those following open abdominal retropubic suspension, with a confidence interval of approximately 10% of the absolute difference. Approximately one in eleven women showed a complication during TVT, mostly bladder perforation, but none had serious consequences. Long term results are being awaited. Data were insufficient to suggest whether other types of suburethral sling procedure are as effective as open abdominal retropubic suspension or needle suspension. There was limited evidence from a smallsized sample trial showing that Goretex slings had more complications than rectus fascia slings. The broader effects of suburethral sling procedures could not be determined since the trials did not include appropriate conclusion measurements, such as general health status, economic aspects, urinary tract test, third party analysis and time to recover normal activity. Reliable evidence showing that suburethral sling procedures may be better or worse than other surgical or conservative treatments is lacking, because there were no trials aimed at such comparisons.

Project Status: Completed

URL for project: http://portal.saude.gov.br/portal/arquivos/pdf/suburetral_sslings_for_urinary_incontinence.pdf

Year Published: 2005

URL for published report: http://portal2.saude.gov.br/rebrats/visao/estudo/detEstudo.cfm?codigo=121&evento=6&v=true

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Brazil

Organisation Name: Coordenação-Geral de Fomento à Pesquisa e Avaliação de Tecnologias em Saúde, Departamento de Ciência e Tecnologia

Contact Address: Ministerio da Saude, Secretaria de Ciencia, Tecnologia e Insumos Estrategicos, Departamento de Ciencia e Tecnologia, Esplanada dos Ministerios, Edificio sede; bl "G" - 8 andar - SL 834, CEP: 70058-900, Brasilia, DF Brazil, Tel: +55 61 3315 3197 Fax: +55 61 3315 3850

Contact Name: suzanne.jacob@saude.gov.br

Contact Email: suzanne.jacob@saude.gov.br

Copyright: Department of Science and Technology - Brazilian Health Technology Assessment General Coordination (DECIT-CGATS)