Study Comparing Two Mesh Widths in Surgery for Womens Stress Urinary Incontinence

What this Trial Is About

Researchers are evaluating whether using a wider surgical tape mesh in transobturator tape TOT surgery improves outcomes for women with stress urinary incontinence SUI. This randomized controlled trial compares a 1.2 cm wide mesh new method to the standard 1.0 cm mesh. The study aims to determine if the wider mesh improves urinary control and reduces complications, with participants followed for one year. Participants will be randomly assigned to receive TOT surgery using either the 1.2 cm or 1.0 cm monofilament polypropylene mesh. All surgeries will be performed by one experienced surgeon using the same surgical technique, anesthesia, and care protocols to ensure consistency. Follow-up visits are planned at 1 week, 1 month, and 1 year after surgery, with evaluations by a blinded assessor. During the study, participants will have their urinary leakage tested and complete symptom questionnaires. Researchers will measure the primary outcome of objective cure through a negative stress test at 6 months. Secondary outcomes include symptom improvement, mesh-related complications like erosion or infection, recurrence of urinary incontinence, and patient satisfaction. The goal is to see if the modified mesh provides better support and fewer issues than the standard mesh.

Effect of Modified Mesh on Surgical Success in Transobturator Tape Surgery