الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Cardozo, 2004, announce that stress urinary incontinence is the most common type of incontinence in women, with 86% of incontinent women presened with the symptom of SUI in either pure (50%) or mixed (36%) forms. Incontinent women have SUI when they complain of involuntary leakage on effort, exertion, sneezing or coughing. (102)
Stress urinary incontinence is due to urethral hypermobility or impaired sphincter functioning. (196)
In 1995, surgical treatment for stress incontinence was dramaticaly changed with the introduction of a new concept, the tension-free midurethral support described by Ulmsten and Petros. In the past decade, suburethral slings have become the preferred technique for the surgical treatment of female stress urinary incontinence. (197)
In this study we prospectively evaluate the safety and efficacy of TOA
Procedures against SIMS in treatment of female SUI. A total of 25 patients underwent TOA and the same number underwent SIMS procedures during the period from masch 2016 to December 2016. All patients were evaluated before surgery by history, clinical examination, urine analysis, abdomino-pelvic ultrasonography, and urodynamic examination. The preoperative data (age, menopausal state, previous deliveries, type, cause and grade of SUI, presence of cystocele and presence of previous pelvic surgery) were assessed. The surgical outcome results were classified into cured and failed.
All patients were operated upon under spinal anesthesia. The mean operative time was 26.33min±5.137 (range: 17-34 min.)No intra-operative bleeding requiring blood transfusion was observed. Urethral injury occurred only in one patient in both groups.
There were no cases recorded with postoperative urinary retention. Only two patients developed groin pain using TOA while no patients suffered from pain using SIMS .
The mean hospital stay was one day in both groups and the mean follow-up was 8.354 ± 4.321 months (range 3-6 months). Out of the 25 patients using TOA 92% were cured and 8% had failure, while 96% cured using SIMS , only 4% presented with leakage using SIMS.
So that : minisling single incision vaginal tape is a good effective valuable method of stress urinary incontinence surgical repair in female , it gives better results with less morbidity with short learning curve so it can be learnt in short time with excellent success rate in comparative with TOA.