Comparing Mesh-Free Pubo-Urethral Ligament Plication and Mesh-Based Transobturator Tape Surgery for Female Stress Urinary Incontinence Short-Term Outcomes and Patient Satisfaction Study

What this Trial Is About

Researchers are comparing two surgical methods for treating female stress urinary incontinence SUI to understand their short-term effectiveness, safety, and patient satisfaction. The study looks at Pubo-Urethral Ligament Plication PLP, a mesh-free native tissue repair, and Transobturator Tape TOT, a mesh-based sling technique. The goal is to see if the mesh-free PLP offers similar outcomes to the more common mesh-based TOT, especially for patients preferring to avoid synthetic materials. Participants diagnosed with SUI who choose surgery will undergo either the PLP or TOT procedure based on shared decision-making with their surgeon. PLP strengthens urethral support by folding native tissues without mesh, while TOT places a synthetic tape under the midurethra using the transobturator route. The study collects data on surgery details, complications, pain, hospital stay, and patient satisfaction during follow-up visits. During the study, continence improvement will be measured using questionnaires like the International Consultation on Incontinence Questionnaire-Short Form ICIQ-SF and clinical exams 6 to 24 weeks after surgery. Researchers will also monitor pain, urinary retention, new urgency symptoms, wound healing, and overall satisfaction. Participants will attend postoperative follow-ups to help evaluate the outcomes and safety of each surgical technique.

Mesh-Free Versus Mesh-Based Surgery for Female Stress Urinary Incontinence: A Prospective Comparison of Pubo-Urethral Ligament Plication and Transobturator Tape