Efficacy of Surgeon Tailored Single Incision Mid Urethral Tape Versus the Surgeon Tailored Trans-Obturator Tape in the Management of Female Stress Urinary Incontinence: Randomized controlled trial (RCT)

Background: Reduced risk of problems and comparable success rates to traditional mid-urethral slings have been reported using the minimally invasive surgery known as single incision micro slings (SIMS), mainly used to treat stress urine incontinence (SUI).Aim of the Work: To assess the efficacy of trans-obturator tape (TOT) and SIMS in treating women with stress urine incontinence (SUI).Patients and Methods: After randomly dividing 139 women with symptomatic urodynamic SUI into two groups, the study was conducted at the Department of Obstetrics and Gynecology at Al-Azhar University. As a first group, 70 women underwent the conventional TOT test. The second Group consists of 69 women who underwent the SIMS treatment. Time spent operating, difficulties encountered during surgery, and total hospital stay were all documented.Results: Both groups shared comparable demographic information. When comparing Group I with Group II, we find that Group I had more postoperative pain scores (as measured by the Visual Analogue Scale; VAS), longer operating times, and more procedure-related blood loss. There was no statistically significant difference between the two groups at the 1, 3, and 6-month postoperative marks regarding the length of hospital stay, the necessity of blood transfusions, or the subjective and objective cure rates.Conclusion: Regarding female SUI, the SIMS technique outperforms the TOT sling in terms of efficacy and has fewer intra- and postoperative problems because there is no evidence of intrinsic sphincter deficiency (ISD).