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EDITORIAL COMMENT

      Success rates of retropubic sling in Latina women compare with those published in the clinical trial literature. Urinary urgency and urgency incontinence symptoms may be more predominant in Latina women, and Gonzalez et al. emphasize need for further investigation of potential underlying structural, cultural, environmental, or lifestyle-related factors that may be at play. This amplifies generalizability of sling clinical trial results to an important demographic that is otherwise not well-represented in phase III trials for stress urinary incontinence.
      • Moldovan CP
      • Marinone ME
      • Staack A
      Transvaginal retropubic sling systems: efficacy and patient acceptability.
      Representation is essential to generalizability, and this is an important study in that regard.
      • Curtis E
      • Jones R
      • Tipene-Leach D
      • et al.
      Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition.
      Overactive bladder can persist or become exacerbated after surgical therapies for stress incontinence, and lack of access to adequate treatment for OAB disproportionately affects underrepresented racial and ethnic minorities, even as we work to improve their representation in research.
      • McKellar Bellin E
      • Schoenbaum E
      • Abraham N
      Prevalence, risk factors, and treatment for overactive bladder in a racially diverse population.
      This has significant public health implications that require further discussion.
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      References

        • Moldovan CP
        • Marinone ME
        • Staack A
        Transvaginal retropubic sling systems: efficacy and patient acceptability.
        Int J Women's Health. 2015; 7: 227-237https://doi.org/10.2147/IJWH.S59265
        • Curtis E
        • Jones R
        • Tipene-Leach D
        • et al.
        Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition.
        Int J Equity Health. 2019; 18: 2-4https://doi.org/10.1186/S12939-019-1082-3
        • McKellar Bellin E
        • Schoenbaum E
        • Abraham N
        Prevalence, risk factors, and treatment for overactive bladder in a racially diverse population.
        Urology. 2019; 126: 70-75https://doi.org/10.1016/J.UROLOGY.2018.12.021
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        Underrepresentation of hispanics and other minorities in clinical trials: recruiters’ perspectives.
        J Racial Ethnic Health Disparities. 2018; 5: 322-332https://doi.org/10.1007/S40615-017-0373-X
      1. Mastroianni AC, Faden R, Federman D. Inclusion of latino women in clinical and research studies: scientific suggestions for assuring legal and ethical integrity. Published online 1999. Available at: https://www.ncbi.nlm.nih.gov/books/NBK236579/. Accesed September 1, 2021

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        Am Journal of Public Health. 2011; 101: 2217https://doi.org/10.2105/AJPH.2011.300279