title: [Meta-analysis of clinical efficacy of TVT-S versus TVT-O/TOT in the treatment of stress urinary incontinence].
abstract: OBJECTIVE
  To assess the current evidence of effectiveness and safety of Single-incision mini-slings (TVT-S) versus transobturator tension-free vaginal tapes (TVT-O/TOT) in the management of female stress urinary incontinence (SUI).
  
  
  METHODS
  Literature searches were conducted for all randomized controlled trials (RCTs) comparing TVT-S and TVT-O/TOT from CNKI, CBM, VIP, MEDLINE, OVID, FMJS and Cochrane Library between November 1996 and November 2011. The Revman 5.1.0 software was used for Meta-analysis according to Cochrane system evaluation method.
  
  
  RESULTS
  A total of 1545 females in 7 RCTs were included. Meta-analysis showed that no statistical differences existed in the rate of postoperative voiding dysfunction and dyspareunia between TVT-S and TVT-O/TOT (P > 0.05). But the rate of objective cure, re-operation, inner thigh and groin pain and de novo urgency were statistically significant (P < 0.05).
  
  
  CONCLUSIONS
  As compared with TVT-O/TOT, TVT-S procedure is associated with less postoperative inner thigh and groin pain, but a lower objective cure rate and relatively higher rates of de novo urgency and re-operation.
authors.affiliation: Department of Obstetrics & Gynecology, Fuzhou General Hospital, Fujian Medical University, Fuzhou 350025, China.
authors.forename: Quan
authors.initials: Q
authors.lastname: Zhou
authors.forename: Yan-feng
authors.initials: YF
authors.lastname: Song
authors.forename: Jie
authors.initials: J
authors.lastname: Chen
authors.forename: Lin-lin
authors.initials: LL
authors.lastname: Qiu
authors.forename: Xiao-dong
authors.initials: XD
authors.lastname: Yuan
mesh_terms: D005260:Female; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D053825:Suburethral Slings; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery*