Reviewer ’s report  
 
Title:  Predictors of persistent stress urinary incontinence after transvaginal mesh repair.  
 
Version: 1 Date: 07 May 2018 
 
Reviewer:  Roger Ro man Dmochowski  
 
Reviewer’s report:  
 
Please include all comments for the authors in this box rather than uploading your report as an 
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The authors present a extensive experience with that mesh procedures and functional outcomes 
related to sam e. As such, this paper is well reported aside from one deficiency. It would be 
reasonable to assume that perioperative complications may have some role on outcomes. The 
authors are asked to present using a standardized classification (such as Clavien -Dind o) any 
complications that required intervention or intensive therapy related to the surgical interventions. 
Without complication reporting it is difficult to interpret the final functional outcomes.  
 
The authors are to be congratulated on their honesty give n the significant persistence and new 
onset of both stress and urgency symptoms that they report. In this reviewer's experience these 
are realistic numbers and outcomes and the surgical literature has heretofore not been as sensitive 
to these functional pe rturbations.  
 
I would ask the authors also to comment on the fact that preoperative urgency incontinence was 
one of the factors leading to postoperative persistence of stress. Do the authors believe that this is 
a byproduct of intervening on a large group o f women with mixed symptoms and therefore the 
more significant symptom perhaps resolved but the symptom less significant preoperatively 
becomes more significant postoperatively in the absence of the main symptom those was 
identified before surgery.  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further 
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
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below. If your reply is yes to any, please give details below.  
 
none related to this paper  
 
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