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.