title: [Stress urinary incontinence. Evidence for 4 minimally invasive methods of treating - systematic overview].
abstract: BACKGROUND
  Stress urinary incontinence is a common problem. A systematic review of 4 minimally invasive methods (Safyre, ACT, Argus, and ProACT) was undertaken to evaluate these methods and formulate recommendations.
  
  
  METHODS
  Medline, EMBASE, databases of the University of York Centre for Reviews and Dissemination, databases of the International Network of Agencies for Health Technology Assessment, and other web sites were searched for relevant literature. Nine studies were selected. Their core data were translated to extraction tables under peer review, the quality of evidence was assessed by the GRADE scheme, and for each method a recommendation was made.
  
  
  RESULTS
  For 2 of the methods (Safyre and ProACT), a restricted positive recommendation was made; for the other 2 methods, the quality of evidence was too low for a recommendation to be expressed.
  
  
  CONCLUSIONS
  The Safyre sling and the ProACT microballoon are methods for which the available evidence indicates a net benefit, but new studies may have a significant impact on the estimate of their effect. A later assessment of the evidence is therefore recommended.
authors.affiliation: Ludwig Boltzmann Institut HTA, Garnisongasse, Wien, Osterreich. stefan.mathis@hta.lbg.ac.at
authors.forename: S
authors.initials: S
authors.lastname: Mathis
authors.forename: B
authors.initials: B
authors.lastname: Guba
authors.forename: C
authors.initials: C
authors.lastname: Adlbrecht
authors.forename: C
authors.initials: C
authors.lastname: Pramesberger
mesh_terms: D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D014550:Urinary Incontinence, Stress / Q000601:surgery*
references.citation: J Urol. 2006 Nov;176(5):2109-13; discussion 2113
references.pmid: 17070270
references.citation: Prog Urol. 2005 Apr;15(2):244-9
references.pmid: 15999601
references.citation: N Engl J Med. 2008 Mar 20;358(12):1250-61
references.pmid: 18354103
references.citation: Scand J Urol Nephrol. 2007;41(4):324-8
references.pmid: 17763225
references.citation: J Urol. 2006 Nov;176(5):2114-8; discussion 2118
references.pmid: 17070273
references.citation: Urol Int. 2006;76(3):240-6
references.pmid: 16601387
references.citation: J Urol. 2007 Oct;178(4 Pt 1):1171-81
references.pmid: 17698123
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1277-82
references.pmid: 17912571
references.citation: Int Braz J Urol. 2003 Jul-Aug;29(4):353-9
references.pmid: 15745561
references.citation: Arch Gynecol Obstet. 2006 Feb;273(5):288-92
references.pmid: 16189692
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2007 Sep;18(9):1015-9
references.pmid: 17180553
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2005 Nov-Dec;16(6):487-91
references.pmid: 15889209
references.citation: BJU Int. 2005 Sep;96(4):587-94
references.pmid: 16104915
references.citation: Am J Respir Crit Care Med. 2006 Sep 1;174(5):605-14
references.pmid: 16931644
references.citation: BJU Int. 2006 Mar;97(3):533-9
references.pmid: 16469021
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2007 Sep;18(9):1087-95
references.pmid: 17464439
references.citation: Urology. 2006 May;67(5):965-9
references.pmid: 16698356
references.citation: Curr Opin Urol. 2006 Mar;16(2):60-4
references.pmid: 16479205