Comparing Minisling to Tension Free Vaginal Tape in Mangement of Stress Urinary Incontinence

Randomized Controlled Trial Comparing Minisling to Tension Free Vaginal Tape in Mangement of Stress Urinary Incontinence

Based on previous studies the single incision minisling is an easy less invasive procedure with fewer complications and cure rate similar to conventional midurethral slings in the treatment of female stress urinary incontinence. The aim of this study is to test the hypothesis that the single incision mini-sling placed in the "U" position is not inferior to TVT in this patient population.

Inclusion Criteria:

• Patients with urodynamic stress urinary incontinence, with or without pelvic organ prolapse

Exclusion Criteria:

• Patients with overactive bladder on urodynamic study.
• Patients with voiding dysfunction.
• Patients with intrinsic sphincteric deficiency.
• Patients with previous anti-incontinence surgery.
• Patients on anti-coagulant therapy.
• Immune-compromised patients (DM, patients on corticosteroids treatment).
• Refusal of surgery.