Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis.

0.18e0.85). Therefore, we recommend MUS. For obturator slings vs retropubic MUS, metaanalyses for both objective (OR, 1.16; 95% CI, 0.93e1.45) and subjective cure (OR, 1.17; 95% CI, 0.91e1.51) favored retropubic slings but were not significant. Metaanalysis of satisfaction outcomes favored obturator slings but was not significant (OR, 0.77; 95% CI, 0.52e1.13). AEs were variable between slings; metaanalysis showed overactive bladder symptoms were more common following retropubic slings (OR, 1.413; 95% CI, 1.01e1.98, P ¼ .046). We recommend either retropubic or obturator slings for cure outcomes; the decision should balance AEs. For minislings vs full-length MUS, metaanalyses of objective (OR, 4.16; 95% CI, 2.15e8.05) and subjective (OR, 2.65; 95% CI, 1.36e5.17) cure both significantly favored full-length slings. Therefore, we recommend a full-length MUS. CONCLUSION:Surgical procedures for SUI differ for success rates and complications, and both should be incorporated into surgical decisionmaking. Low- to high-quality evidence permitted mostly level-1 recommendations when guidelines were possible.