Mid-Urethral Sling Tensioning Trial

Mid-Urethral Sling Tensioning Trial

Prospective randomized clinical trial comparing two methods of intra-operative tensioning of retropubic midurethral slings for stress urinary incontinence. Primary outcome is rate of abnormal bladder function. Secondary outcomes include validated quality of life scores, physical exam findings, and rates of immediate post operative voiding dysfunction.

Inclusion Criteria:

• Age 18 or older
• Women who have elected for surgical management of symptomatic urinary incontinence
• Ability to read & write in English
• Other prolapse surgery at time of sling placement is allowed
• Must consent to participation in trial

Exclusion Criteria:

• Women with a prior incontinence procedure
• Clinically obvious, but non-symptomatic stress urinary incontinence (latent stress incontinence)
• Declines participation in trial
• Women with existing urinary retention or significant overactive bladder (requiring medication)