Evidence map›Paper›PMID 37760927›Full record

ReviewBiomedicines2023

Stress Urinary Incontinence: An Unsolved Clinical Challenge.

Niklas Harland, Simon Walz, Daniel Eberli, Florian A Schmid, Wilhelm K Aicher, Arnulf Stenzl, Bastian Amend

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Improved Sphincter Muscle Regeneration by Myoblasts fromMedical sciences (Basel, Switzerland) · 2026
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  15. Article
  16. Thermo-Ablative Fractional COMedical sciences (Basel, Switzerland) · 2025
    Article
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  18. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Niklas HarlandDepartment of Urology, University of Tuebingen Hospital, 72076 Tuebingen, Germany.ORCID 0000-0002-5532-4868
Simon WalzDepartment of Urology, University of Tuebingen Hospital, 72076 Tuebingen, Germany.
Daniel EberliDepartment of Urology, University Hospital Zurich, 8091 Zurich, Switzerland.ORCID 0000-0001-8866-8010
Florian A SchmidDepartment of Urology, University Hospital Zurich, 8091 Zurich, Switzerland.ORCID 0000-0002-0862-5027
Wilhelm K AicherCentre for Medical Research, University of Tuebingen Hospital, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany.ORCID 0000-0003-2210-6773
Arnulf StenzlDepartment of Urology, University of Tuebingen Hospital, 72076 Tuebingen, Germany.
Bastian AmendDepartment of Urology, University of Tuebingen Hospital, 72076 Tuebingen, Germany.ORCID 0000-0002-2039-8904
University of Tübingen · DEUniversity Hospital of Zurich · CH

Funding

Bundesministerium für Bildung und Forschung Multimorb-INKODeutsche Forschungsgemeinschaft KFO273, PoTuS, MyoRepairEU MUS.I.C.
6 · The paper itself

Abstract

Stress urinary incontinence is still a frequent problem for women and men, which leads to pronounced impairment of the quality of life and withdrawal from the social environment. Modern diagnostics and therapy improved the situation for individuals affected. But there are still limits, including the correct diagnosis of incontinence and its pathophysiology, as well as the therapeutic algorithms. In most cases, patients are treated with a first-line regimen of drugs, possibly in combination with specific exercises and electrophysiological stimulation. When conservative options are exhausted, minimally invasive surgical therapies are indicated. However, standard surgeries, especially the application of implants, do not pursue any causal therapy. Non-absorbable meshes and ligaments have fallen into disrepute due to complications. In numerous countries, classic techniques such as colposuspension have been revived to avoid implants. Except for tapes in the treatment of stress urinary incontinence in women, the literature on randomized controlled studies is insufficient. This review provides an update on pharmacological and surgical treatment options for stress urinary incontinence; it highlights limitations and formulates wishes for the future from a clinical perspective.

Indexed as

artificial urinary sphincterbulking agentsintrinsic sphincter deficiencymale slingpelvic floor muscle training (PFMT)pharmacological interventionstress urinary incontinence (SUI)tension-free vaginal tape (TVT)urethral hypermobilityurodynamics

Identifiers

PMID37760927
PMCPMC10525672
OpenAlexW4386525311

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.