Systematic review and meta-analysis of “inside-out” versus “outside-in” transobturator tapes in management of stress urinary incontinence in women

European Journal of Obstetrics & Gynecology and Reproductive Biology, 04/24/2012

This is the first reported direct meta–analysis comparing both routes of transobturator tapes. It showed no evidence of significant differences in the efficacy and impact on women's quality of life between “inside–out” and “outside–in” transobturator tapes up to one–year follow–up. The “inside–out” route was associated with significantly fewer vaginal angle injuries but with trends towards higher risk of postoperative groin pain. Long–term follow–up of adequately powered RCTs is required to assess if these results pertain.

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