Transobturator tape, tension‐free vaginal tape, and transvaginal tension‐free vaginal tape‐obturator for the treatment of female stress urinary incontinence: A systematic review and network meta‐analysis

Abstract Objective To systematically review the safety and effectiveness of tension‐free vaginal tape (TVT), transobturator tape (TOT), and transvaginal tension‐free vaginal tape‐obturator (TVT‐O) in the treatment of stress urinary incontinence (SUI). Methods The PubMed, Embase, The Cochrane Library, Web of Science, WanFang Data, and CNKI were electronically searched. A total of 22 trials involving 3709 patients were included. Results The objective cure rate was better with TVT than with TOT and TVT‐O. The incidence of postoperative thigh/groin pain was lower with TVT than with TOT and TVT‐O, but the incidence of dysuria was higher with TVT than with TVT‐O. The incidence of lower urinary tract infection was higher with TVT than with TOT. Conclusion Tension‐free vaginal tape may have a better outcome compared to TOT and TVT‐O, but the risk of dysuria and lower urinary tract infection is higher with SUI.