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Pelvic floor

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By Vicente Bebia OB/GYN Residente Hospital 12 de Octubre, Madrid
https://www.readbyqxmd.com/read/20479459/retropubic-versus-transobturator-midurethral-slings-for-stress-incontinence
#1
RANDOMIZED CONTROLLED TRIAL
Holly E Richter, Michael E Albo, Halina M Zyczynski, Kimberly Kenton, Peggy A Norton, Larry T Sirls, Stephen R Kraus, Toby C Chai, Gary E Lemack, Kimberly J Dandreo, R Edward Varner, Shawn Menefee, Chiara Ghetti, Linda Brubaker, Ingrid Nygaard, Salil Khandwala, Thomas A Rozanski, Harry Johnson, Joseph Schaffer, Anne M Stoddard, Robert L Holley, Charles W Nager, Pamela Moalli, Elizabeth Mueller, Amy M Arisco, Marlene Corton, Sharon Tennstedt, T Debuene Chang, E Ann Gormley, Heather J Litman
BACKGROUND: Midurethral slings are increasingly used for the treatment of stress incontinence, but there are limited data comparing types of slings and associated complications. METHODS: We performed a multicenter, randomized equivalence trial comparing outcomes with retropubic and transobturator midurethral slings in women with stress incontinence. The primary outcome was treatment success at 12 months according to both objective criteria (a negative stress test, a negative pad test, and no retreatment) and subjective criteria (self-reported absence of symptoms, no leakage episodes recorded, and no retreatment)...
June 3, 2010: New England Journal of Medicine
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