Main findings
SIS usage within the SUI treatment is still controversial, rendering a
critical need for additional studies that will elucidate its place in
surgical management. Few well designed prospective studies have reported
encouraging short and medium term SIS outcomes 17,18, 19, although other research
findings substantiated opposite results 20. Overall
analysis of our four year follow-up RCT primarily demonstrates SUI
surgery non-inferiority with adjustable SIS in relation to inside-out
TOT regarding both subjective and objective cure. In studies evaluating
efficacy and success, there is currently a trend worldwide to consider
subjective findings more relevant that objective outcomes. Our study
results recognize higher objective cure rates than subjective. A
possible explanation of this fact could be that patients during CST
maximize focus on optimum pelvic floor contraction, rendering this
situation physical vice physiological. Another factor is the influence
of urgency which can negatively affect patient’s overall satisfaction
during subjective evaluation.