Pubo-urethral ligament plication versus transobturator tape for female stress urinary incontinence

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a single-center, prospective, comparative study enrolling women with clinically diagnosed stress urinary incontinence who elect surgical treatment. Patients and surgeons use shared decision-making to select either pubo-urethral ligament plication (PLP), a mesh-free native tissue repair, or transobturator tape (TOT), a mesh-based mid-urethral sling, and baseline and short-term outcomes are collected. The primary outcome is early continence improvement measured by validated tools (ICIQ-SF) and clinical exam, and secondary outcomes include operative time, hospital stay, postoperative pain, urinary retention, de novo urgency, wound complications, and patient satisfaction. Short-term follow-up visits capture perioperative and postoperative complications and patient-reported outcomes to compare effectiveness and safety profiles.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Female patients aged 18-80 years

Clinical diagnosis of stress urinary incontinence

Failure of conservative management (pelvic floor exercises or medical therapy)

Desire to undergo surgical treatment (PLP or TOT)

Ability to provide informed consent

Willingness to attend postoperative follow-up visits

Exclusion Criteria:

* Mixed urinary incontinence with predominant urge symptoms

Active urinary tract infection

Pelvic organ prolapse ≥ stage II

Previous anti-incontinence surgery

Neurological diseases affecting bladder function

Pregnancy or planning pregnancy during follow-up

Uncontrolled diabetes, bleeding disorders, or contraindications to surgery

Use of medications affecting bladder function (e.g., anticholinergics)

Inability to provide informed consent

Where it's running

• Harran University Research and Application Hospital
  Şanliurfa, Hali̇li̇ye, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Mehmet İncebiyik, Md — Harran University
• Study coordinator: Mehmet İNCEBIYIK, MD
• Email: drmehmetincebiyik@gmail.com
• Phone: +905353374889

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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• At-home electrical stimulation treatment for stress urinary incontinence in women

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.